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Choledocholithiasis pp 3–28Cite as

Historical Perspective on the Treatment of Choledocholithiasis: Lessons Learned and Techniques Prior to the Laparoscopic Era

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Abstract

This chapter mentions briefly the history of gallbladder disease and the early stages of gallstone diagnostic techniques. The major focus of this chapter is the description and impact of intraoperative cholangiography (IOC) as well as the value of decreasing the occurrence of bile duct injuries. There are significant improvements in early detection (during primary surgery) with avoidance of additional severe complications. The other major item reviewed is the use of improved intraoperative choledochoscopy in the removal of common bile duct (CBD) stones. The aim of this communication is that hopefully surgeons will consider using proper IOC during biliary surgery and reduce the high incidence of bile duct injuries (BDI) as well as perform removal of CBD stones (10% of cholecystectomies) in one surgery instead of two procedures.

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Acknowledgment

I would like to express my thanks to Marc Arizmendez, Senior Media Specialist and Assistant, and Barbara Rosette and Susan Frederick for helping me to put this chapter together.

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Authors and Affiliations

  1. Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA

    George Berci MD, FACS, FRCS ED (Hon)

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  1. George Berci MD, FACS, FRCS ED (Hon)
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Correspondence to George Berci MD, FACS, FRCS ED (Hon) .

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Editors and Affiliations

  1. Dartmouth College, Geisel School of Med, Hanover, New Hampshire, USA

    B. Fernando Santos

  2. Northwestern University, Chicago, Illinois, USA

    Nathaniel Soper

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Berci, G. (2018). Historical Perspective on the Treatment of Choledocholithiasis: Lessons Learned and Techniques Prior to the Laparoscopic Era. In: Santos, B., Soper, N. (eds) Choledocholithiasis . Springer, Cham. https://doi.org/10.1007/978-3-319-74503-9_1

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  • DOI: https://doi.org/10.1007/978-3-319-74503-9_1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74502-2

  • Online ISBN: 978-3-319-74503-9

  • eBook Packages: MedicineMedicine (R0)

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