Management of Cholecystocholedocholithiasis in a single stage with the rendez-vous procedure. Hospital Nacional de Itauguá

Abstract

Introduction: We describe our initial experience with the use of the single-stage laparoendoscopic method ¨RENDEZ-VOUS¨ in the management of patients with gallstones and suspected choledocholithiasis. Objective: To describe the success rate, complications, and hospital stay with the Rendez vous method. Methodology: The Rendez-vous method was applied in 12 patients who were admitted with the diagnoses of gallstones and suspected choledocholithiasis, selected from a non-probabilistic sampling of consecutive cases with a sample of 25 patients who met the inclusion criteria. Result: Intraoperative cholangiography was performed in 25 patients, the presence of choledocholithiasis was confirmed in 14 patients (56%), and the successful removal of bile duct stones was achieved in 12 patients (48%) through endoscopic retrograde cholangiography. selective on guide with loop for Rendez-vous by transcystic way. No cases of post-procedure pancreatitis or cases of residual choledochal lithiasis were reported in 6 months of follow-up. The mean hospital stay was 5.8 days and the postoperative stay was 1.2 days. Conclusion: The Rendez-vous method is presented as a minimally invasive therapeutic alternative to other types of treatments for choledochal lithiasis.