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- W2301551243 abstract "Summary The paper discusses the author’s experience with surgery of the gallbladder and bile ducts in 2 similar periods of 7 years before and after the introduction of laparoscopy in general surgery, with special emphasis on the diagnosis and treatment of choledocholithiasis. There were striking differences in the two periods, mainly with respect to operative cholangiography and exploration of the bile ducts, procedures which were drastically reduced during the period of laparoscopic surgery. In both periods, there was a high index of negative explorations for common bile duct stones following the open and endoscopic procedures, so we postulate that there has to be a change in the traditional criteria for common bile duct exploration in order to reduce the high frequency of negative explorations. The study concludes with an analysis of the options for the surgeon when the diagnosis of choledocholithiasis is made in the pre-trans or post-operative period." @default.
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- W2301551243 date "1999-01-01" @default.
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- W2301551243 title "Conductas actuales ante la litiasis coledociana" @default.
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