Endoscopia operativa nelle complicanze della colecistectomia – Revisione e update dalla letteratura

AUTORI

Attilio Maurano, Carmela Abbatiello, Michele Fusco, Mario Gagliardi, Mariano Sica, Claudio Zulli

ABSTRACT

Cholecystectomy is one of the most common surgical procedures performed worldwide. Today, the preferred surgical choice is laparoscopic cholecystectomy, as it is less invasive than open cholecystectomy, however it may result in complications represented by bile duct injuries, which frequently occur. The management of iatrogenic complications is a challenging field and requires
a multidisciplinary approach. Those conditions can be severe and life threatening, and represent a higher cost for health systems with longer hospitalisation times and possible reinterventions.
In most cases, such events require conservative management, but in severe cases, endoscopic or surgical reintervention could be necessary. In these cases, surgical reintervention is associated with
high morbidity and severe technical difficulties. Endoscopic therapy has become the diagnostic and therapeutic modality of choice, with a high success rate, providing in many cases a definitive
treatment. However, there is no consensus on the best strategy and this review will discuss the indications, efficacy, and complications of endoscopic therapy after cholecystectomy.

Maurano A, Abbatiello C, Fusco M, et al. Endoscopia operativa nelle complicanze della colecistectomia – Revisione e update dalla letteratura. GIED. 2023 Dec;vol.4:39-44

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