{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:47:41Z","timestamp":1792165661396,"version":"4.4.0"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Paediatric choledocholithiasis is increasingly encountered in clinical practice. The conventional two-stage strategy of endoscopic retrograde cholangiopancreatography followed by laparoscopic cholecystectomy is effective but technically demanding and associated with procedure-related complications. Laparoendoscopic rendezvous (LERV) offers a single-stage minimally invasive alternative; however, paediatric evidence remains limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>This retrospective single-centre study included seven consecutive paediatric patients (4 males, 3 females; median age: 14 years; range: 9\u201317 years) with cholecysto-choledocholithiasis who underwent LERV between March 2021 and September 2025. The primary endpoint was complete common bile duct (CBD) stone clearance. Secondary endpoints included operative time, complications and length of hospital stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>LERV was successfully completed in all patients, achieving complete CBD stone clearance without conversion to open surgery or the need for additional interventions. Median operative time was 110 min (range: 80\u2013140), and median hospital stay was 2 days (range: 2\u20134). No intraoperative or post-operative complications occurred. Mean follow-up was 38.6 months, with no late biliary complications or recurrent stones.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>LERV appears to be a feasible and promising single-stage technique for selected paediatric patients with cholecysto-choledocholithiasis, providing high ductal clearance while avoiding additional procedures. The standardised step-by-step technique presented may facilitate reproducibility and broader adoption in paediatric surgical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_193_26","type":"journal-article","created":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:00:15Z","timestamp":1792162815000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Laparoendoscopic rendezvous for paediatric cholecysto-choledocholithiasis: A safe and effective single-stage approach with technical insights"],"prefix":"10.4103","author":[{"given":"Levan","family":"Koiava","sequence":"first","affiliation":[{"name":"School of Medicine, Institute of Medical and Public Health Research, Ilia State University, Tbilisi, Georgia"},{"name":"Department of Endoscopy and the Department of Bariatric and General Surgery, Innova Medical Center, Tbilisi, Georgia"},{"name":"Department of General, Abdominal and Thoracic Surgery, Iashvili Children\u2019s Central Hospital, Tbilisi, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oleg","family":"Koiava","sequence":"additional","affiliation":[{"name":"Department of Endoscopy and the Department of Bariatric and General Surgery, Innova Medical Center, Tbilisi, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leeroy","family":"Musiyarira","sequence":"additional","affiliation":[{"name":"School of Medicine, Institute of Medical and Public Health Research, Ilia State University, Tbilisi, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Salome","family":"Gavasheli","sequence":"additional","affiliation":[{"name":"Department of Endoscopy and the Department of Bariatric and General Surgery, Innova Medical Center, Tbilisi, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malkhaz","family":"Kartozia","sequence":"additional","affiliation":[{"name":"Department of General, Abdominal and Thoracic Surgery, Iashvili Children\u2019s Central Hospital, Tbilisi, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Levan","family":"Kharashvili","sequence":"additional","affiliation":[{"name":"Department of General, Abdominal and Thoracic Surgery, Iashvili Children\u2019s Central Hospital, Tbilisi, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vakhtang","family":"Kerkadze","sequence":"additional","affiliation":[{"name":"School of Medicine, Institute of Medical and Public Health Research, Ilia State University, Tbilisi, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivane","family":"Abiatari","sequence":"additional","affiliation":[{"name":"School of Medicine, Institute of Medical and Public Health Research, Ilia State University, Tbilisi, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"R1-20261016","doi-asserted-by":"crossref","first-page":"e82","DOI":"10.1542\/peds.2011-0579","article-title":"Clinical characteristics and risk factors for symptomatic pediatric gallbladder disease","volume":"129","author":"Mehta","year":"2012","journal-title":"Pediatrics"},{"key":"R2-20261016","doi-asserted-by":"crossref","first-page":"406","DOI":"10.5223\/pghn.2022.25.5.406","article-title":"Endoscopic retrograde cholangiopancreatography in children: Feasibility, success, and safety with standard adult endoscopes and accessories","volume":"25","author":"Perera","year":"2022","journal-title":"Pediatr Gastroenterol Hepatol Nutr"},{"key":"R3-20261016","doi-asserted-by":"crossref","first-page":"314","DOI":"10.14740\/gr1503","article-title":"Expanding the use of endoscopic retrograde cholangiopancreatography in pediatrics: A national database analysis of demographics and complication rates","volume":"15","author":"Lorio","year":"2022","journal-title":"Gastroenterology Res"},{"key":"R4-20261016","doi-asserted-by":"crossref","first-page":"1310","DOI":"10.3390\/jcm14041310","article-title":"Laparoendoscopic rendezvous: An effective and safe approach in the management of cholecysto-choledocholithiasis in selected patients","volume":"14","author":"Percario","year":"2025","journal-title":"J Clin Med"},{"key":"R5-20261016","doi-asserted-by":"crossref","first-page":"431","DOI":"10.3892\/wasj.2026.431","article-title":"Management of cholecysto-choledocholithiasis by laparoendoscopic rendezvous: A single-center series of 80 patients","volume":"8","author":"Koiava","year":"2026","journal-title":"World Acad Sci J"},{"key":"R6-20261016","doi-asserted-by":"crossref","first-page":"162783","DOI":"10.1016\/j.jpedsurg.2025.162783","article-title":"One-stage versus two-stage ERCP followed by laparoscopic cholecystectomy for the management of pediatric choledocholithiasis: A systematic review and meta-analysis","volume":"61","author":"Scremin","year":"2026","journal-title":"J Pediatr Surg"},{"key":"R7-20261016","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.1089\/lap.2018.0696","article-title":"\"Rendezvous\" procedure in children with cholecysto-choledocholithiasis","volume":"29","author":"Rancan","year":"2019","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"R8-20261016","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1097\/MPG.0000000000003444","article-title":"Laparo-endoscopic rendez-vous in the treatment of cholecysto-choledocolithiasis in the pediatric population","volume":"74","author":"Cisar\u00f2","year":"2022","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"R9-20261016","doi-asserted-by":"crossref","first-page":"140","DOI":"10.4253\/wjge.v3.i7.140","article-title":"Radiation dose to patients during endoscopic retrograde cholangiopancreatography","volume":"3","author":"Boix","year":"2011","journal-title":"World J Gastrointest Endosc"}],"container-title":["Journal of Minimal Access Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_193_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:00:16Z","timestamp":1792162816000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmas.jmas_193_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,15]]},"references-count":9,"URL":"https:\/\/doi.org\/10.4103\/jmas.jmas_193_26","relation":{},"ISSN":["0972-9941","1998-3921"],"issn-type":[{"value":"0972-9941","type":"print"},{"value":"1998-3921","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,15]]},"assertion":[{"value":"2026-04-02","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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