Laparoscopic cholecystectomy plus exploration of the common bile duct in comparison with laparoscopiccholecystectomyandendoscopicsphincterotomyforsecondary choledocholithiasis

Abstract

Objective To compare the effects between laparoscopic cholecystectomy (LC) +laparoscopic common bile duct exploration(LCBDE) and endoscopic sphincterotomy(EST) + laparoscopic cholecystectomy( LC ) for secondary choledocholithiasis.Methods The clinical data of patients with secondary choledocholithiasis receiving LC + LCBDE or EST + LC from January 2008 to December 2009 were retrospectively compared. Parameters included operation time, postoperative complication, length of stay,cost of hospitalization. All patients received follow up of 1 year. Enumeration data was analyzed by chisquare test and measurement data was analyzed by t test. Results In this study 87 patients received LC +LCBDE,76 patients received EST + LC. Patients in LC + LCBDE group had shorter hospital stay, less hospital charges and less complications. There was not difference in the procedure success rate and stone remanent rate between the two groups.Conclusions LC + LCBDE could be used as the first choice for patients with gallstones and secondary choledocholithiasis. Key words: Choledocholithiasis; Cholecystectomy, laparoscopic; Sphincterotomy, endoscopic