Abstract
Objective To compare the advantages and disadvantages of ERCP and laparoscopic common bile duct exploration for the treatment of gallbladder stones combined with common bile duct stones. Methods The therapeutic results of 197 cases who underwent ERCP or LCBDE were reviewed retrospectively to find out the advantages and disadvantages of the two operations. Results There are 6 cases operation failure, 32 cases acute pancreaitis, 1 case duodenum perforation and 3 cases common bile duct stones recurrence in the ERCP group(99 cases). There are no operation failure, 8 cases with T-tube drainage , no serious complications and no bile duct stones recurrence in the LCBDE group(98 cases). The hospital stay time and hospital costs of LCBDE group is lower than the ERCP group[(5± 2) d vs (3±1)d, (2.23±0.85) Million yuan vs (1.73± 0.43) Million yuan]. Conclusions The ERCP and LCBDE are effective methods for the treatment of Gallbladder stones combined with common bile duct stones. For most patients, the LCBDE is the first choice method, and for some special patient , ERCP is a good choice. Key words: Gallbladder stones; Common bile duct stones; Laparoscopy; Gommon bile duct exploration; Endoscopic retrograde cholangiopancreatography; Endoscopic sphincterotomy
Published Version
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