Biliary Lithiasis. Basic Science, Current Diagnosis and Management

About this book

The book provides an overview on biliary lithiasis, twenty years after the first laparoscopic cholecystectomy, including all its clinical pictures. Gallbladder, main bile duct and intra-hepatic stones, in their uncomplicated and complicated forms will be illustrated. Chapters are focused on basic science, epidemiology, diagnostic and therapeutic approaches of biliary lithiasis. The different diagnostic procedures described include invasive and non invasive imaging, and treatment options take into consideration medical treatment, open and minimally invasive surgery, endoscopic and percutaneous approaches, individually or as combined procedures.

The book contents are not limited to the most used therapeutic approaches reported in the literature, but they also address new and innovative therapeutic strategies for biliary lithiasis.

Thanks to its comprehensive approach, the volume will therefore be of interest not only for GPs amd specialists in this field, but also for family doctors and residents of different disciplines.

Written for:

• Surgeons, endoscopic surgeons, gastroenterologists, radiologists, physicians, students

Keywords:

• Biliary lithiasis
• diagnostic imaging
• endoscopy
• interventional radiology
• minimally invasive surgery

Table of contents

Reflections on the birth and on the concept of laparoscopic surgery.- Epidemiology of biliary lithiasis.- Pathophysiology of cholesterol gallstone disease.- Classification, composition and structure of gallstones. Relevance of these parameters for clinical presentation and treatment.- Natural history of biliary lithiasis.- Preoperative noninvasive imaging.- Three-dimensional imaging.- Endoscopic retrograde cholangiopancreatography and endoscopic ultrasound.- Pre- and intra-operative diagnostic fibrocholangioscopy.- Intraoperative cholangiography.- Laparoscopic ultrasound during laparoscopic cholecystectomy.- Diagnostic flow charts for biliary lithiasis.- Medical treatment of gallstone disease.- Surgical treatment of cholelithiasis: exclusion criteria.- Anaesthesia in biliary lithiasis.- Cholecystectomy techniques.- Robot-Assisted cholecystectomy.- Day surgery laparoscopic cholecystectomy.- Diagnosis and treatment of acute cholecystitis.- Incidental carcinoma of the gallbladder.- Complications of laparoscopic cholecystectomy.- Clinical pictures of common bile duct stones.- Synchronous Treatment by laparotomy.-Cholecystocholedocholithiasis: two-stage treatment.- Synchronous laparoscopic treatment.- Rendez-vous technique.- Flow chart for the treatment of common bile duct stones and critical comparison of techniques.- Common bile duct stones in cholecystectomized patients.- Acute biliary pancreatitis.- Mirizzi syndrome.- Biliary lithiasis in children.- Biliary lithiasis in pregnancy.- Biliary lithiasis and obesity.- Biliary lithiasis in patients with gastroesophageal reflux (acid and alkaline).- Hepatic cirrhosis and biliary stones.- Biliary stones and gastrectomy.- Biliary ileus.- Clinical pictures of intrahepatic lithiasis.- Treatment of intrahepatic lithiasis.- Extracorporeal shock wave treatment of gallbladder stones.- Shock wave for main bile duct stones.-Acute gallstone cholangitis: clinical pictures, diagnosis and treatment.- Subject index.