The European journal of surgery = Acta chirurgica
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To assess the value of preoperative or postoperative endoscopic treatment of bile duct stones and routine use of operative cholangiography (OC) for detection of unsuspected common bile duct (CBD) stones in conjunction with laparoscopic cholecystectomy. ⋯ Preoperative ERC should be done for patients with symptoms or findings indicating ductal calculi. In most patients undergoing laparoscopic cholecystectomy, OC is feasible and its routine use is strongly advocated. Bile duct stones diagnosed at OC can safely and successfully be treated endoscopically after laparoscopic cholecystectomy. Until laparoscopic bile duct exploration becomes routine and generally applicable, endoscopic management of bile duct stones both before and after cholecystectomy will be an important therapeutic option.
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To describe our experience of percutaneous drainage of intra-abdominal abscesses with large-bore catheters under computed tomographic control. ⋯ Large-bore Argyle drains are efficient and safe for the percutaneous drainage of certain types of abdominal abscesses.