Abstract
Objective To compare the clinical efficacy of one-stage laparoscopic cholecystectomy (LC) plus laparoscopic common bile duct exploration (LCBDE) with primary suture (PS) and two-staged endoscopic retrograde cholangiopancreatography (ERCP)/endoscopic sphincterotomy (EST) followed by LC in treatment of cholecystolithiasis complicated with choledocholithiasis. Methods Of these patients, 58 received one-staged LC+ LCBDE+ PS (the one-stage group), and 71 underwent two-staged ERCP/EST followed by LC (the two-stage group). Results The surgical success rate, residual stone rate, incidence of postoperative complications and operative time showed no significant difference (χ2=0.344, 0.344, 0.108, t=-0.240, all P>0.05) in both the one-staged and two-stage groups. Compared with the two-staged group, the hospital stay was shorter (4.1d vs. 6.9d) and the total hospitalization cost was lower (23 126 yuan vs. 32 982 yuan) in the one-staged group. Conclusion Both one-staged LC+ LCBDE+ PS and two-staged ERCP/EST+ LC are safe and effective in the treatment of cholecystolithiasis complicated with choledocholithiasis on base for base basis. Key words: Cholecystolithiasis; Choledocholithiasis; Cholecystectomy, Laparoscopic
Published Version
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