In conclusion, even though this was a preliminary study, the results show that LBPD is an efficacious and safe technique for treating difficult cholecholithiasis. Moreover, most patients had no need for the use of other techniques such as mechanical lithotripsy for the removal of large bile duct stones. 1. Freitas ML, Bell RL, Duffy AJ. Choledocholithiasis: Evolving standards for diagnosis and management. World J Gastroenterol 2006; 1220: 3162-3167. 2. van Erpecum KJ. Complications of bile-duct stones: acute cholangitis and pancreatitis. Best Practice & Research Clinical Gastroenterology 2006; 20: 1139e1152. 3. Lee DK, Jahng JH. Alternative methods in the endoscopic management of difficult common bile duct stones. Digestive Endoscopy 2010; 22Suppl 1: S79-S84.
En conclusión, aunque este es un estudio preliminar, los resultados observados muestran que la DEPBG es una técnica eficaz y segura en el manejo de coledocolitiasis difícil y que en la mayoría de pacientes puede evitar el uso de otras técnicas como la litotripsia mecánica para la extracción de cálculos difíciles de la vía biliar.