Common Bile Construct Essay

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Common bile duct stones are concomitant with gallstones in 10-15% of the patients, with the percentage of association between 8% and 15% in patients under the age of 60 and between 15% and 60% in patients over the age of 601.

A standard treatment for concomitant common bile duct (CBD) and gallstones remains controversial and there is no consensus on the optimal management strategy, which could be due to multiple factors, including the level of suspicion for choledocholithiasis, preferences (patient and physician), resources, and the expertise of the surgeons, endoscopists, and radiologists2.

The well-known and popular treatment options include: (1) laparoscopic cholecystectomy after endoscopic treatment (a two-steps procedure), (2) endoscopic treatment
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A literature review (PubMed, Medline, Google Scholar, Scopus, and PMC free article) revealed many papers reporting the efficacy and advantages of the rendezvous technique in the management of concomitant cholecystocholedocholithiasis, but none of them had focused on its usefulness in tackling difficult cases, or patients presenting with difficult medical

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