Combined endoscopic-laparoscopic techniques for one-stage treatment of concomitant cholelithiasis and choledocholithiasis.
- Author:
Junzheng WU
1
;
Xiaofei XU
;
Hao LIU
;
Guoxin LI
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Cholangiopancreatography, Endoscopic Retrograde; methods; Cholecystectomy, Laparoscopic; methods; Choledocholithiasis; complications; surgery; Cholelithiasis; complications; surgery; Combined Modality Therapy; Female; Humans; Laparoscopy; methods; Length of Stay; economics; Male; Middle Aged; Postoperative Complications; Retrospective Studies
- From: Journal of Southern Medical University 2013;33(11):1656-1660
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo assess the clinical effects of combined endoscopic-laparoscopic technique for one-stage treatment of cholelithiasis with concomitant choledocholithiasis.
METHODSA retrospective analysis was conducted of the clinical data of 30 patients (Group A) with cholelithiasis and choledocholithiasis receiving one-stage laparoscopic cholecystectomy (LC) combined with intraoperative encoscopic retrograde cholangio-pancreatography (ERCP) and 32 patients (Group B) receiving LC combined with 1aparoscopic common bile duct exploration. The operative time, blood loss, conversion to open surgery rate, time to postoperative ambulation, calculi residual rate, hospitalization cost and length of hospital stay were analyzed comparatively.
RESULTSThere were statistically differences between the two groups in hospitalization cost and length of hospital stay (P<0.05) but not in the other indices (P>0.05).
CONCLUSIONCombined endoscopic-laparoscopic techniques can be a safe and feasible option for one-stage treatment of concomitant cholelithiasis and choledocholithiasis to allow rapid postoperative recovery with a shortened hospital stay.
