Minireviews
Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Jun 25, 2015; 7(7): 714-719
Published online Jun 25, 2015. doi: 10.4253/wjge.v7.i7.714
Current status of laparoendoscopic rendezvous in the treatment of cholelithiasis with concomitant choledocholithiasis
Ioannis Baloyiannis, George Tzovaras
Ioannis Baloyiannis, George Tzovaras, Department of Surgery, University Hospital of Larissa, 41110 Larissa, Greece
Author contributions: Baloyiannis I performed the research, acquisition of data and wrote the paper; Tzovaras G designed the study, performed critical revisions and approved the final version of the article to be published.
Conflict-of-interest: Ioannis Baloyiannis and George Tzovaras have no conflicts of interest or financial ties to disclose.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: George Tzovaras, MD, Associate Professor of Surgery, Department of Surgery, University Hospital of Larissa, Mezourlo, 41110 Larissa, Greece. geotzovaras@gmail.com
Telephone: +30-241-2413502730 Fax: +30-241-3501560
Received: November 10, 2014
Peer-review started: November 11, 2014
First decision: December 26, 2014
Revised: February 22, 2015
Accepted: March 16, 2015
Article in press: March 18, 2015
Published online: June 25, 2015
Core Tip

Core tip: This is a review article for the laparoendoscopic rendezvous technique - a promising single stage procedure in the treatment of patients with cholecysto-choledocholithiasis. In this article we highlight the main advantages of the procedure compared to the traditional two stage approach [preoperative endoscopic retrograde cholangiopancreatography (ERCP) followed by laparoscopic cholecystectomy]. These advantages include the selective cannulation of the common bile duct and the avoidance of high pressure injection of the contrast medium into the pancreatic duct. Both factors are directly related with the pathogenesis of post-ERCP pancreatitis. The current evidence demonstrated in this paper is in favor of the laparoendoscopic rendezvous, however, this technique is still not widely accepted.