Intraoperative ERCP during laparoscopic cholecystectomy for patients with symptomatic cholecystolithiasis and suspected choledocholithiasis but failed preoperative ERCP

Background and study aims: Preoperative ERCP and EST with stone extraction is the gold standard therapy for symptomtic cholecystolithiasis and suspected choledocholithiasis. However, if initial ERCP fails, performing intraoperative ERCP during laparascopic cholecystectomy may be an alternative therapeutic option. Patients and methods: Out of 1650 ERCP procedures intraoperative ERCP was performed in 5 consecutive patients, in whom preoperative ERCP and selective bile duct cannulation failed. All patients were hospitalized due to symptomatic cholecystolithiasis and clinical signs of biliary obstruction. The cannul…