Comparison of laparoscopic cholecystectomy combined with intraoperative endoscopic sphincterotomy and laparoscopic exploration of the common bile duct for cholecystocholedocholithiasis

Hong, Defei; Xiao, Ying; Chen, D.-W.

doi:10.1007/s00464-004-8248-8

Cited by 98 publications

(105 citation statements)

References 17 publications

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“…Despite cholecystectomy being a common operation and with choledocholithiasis complicating up to 10 per cent of cases of symptomatic cholelithiasis 3 , all the trials were relatively small; only four 21,27,29,32 randomized more than 50 patients to each arm. A significant risk of a Type 2 error exists with each individual trial.…”

Section: Discussionmentioning

confidence: 99%

Meta-analysis of endoscopy and surgery versus surgery alone for common bile duct stones with the gallbladder in situ

Clayton

Connor

Alexakis

et al. 2006

British Journal of Surgery

147

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Section: Discussionmentioning

confidence: 99%

Meta-analysis of endoscopy and surgery versus surgery alone for common bile duct stones with the gallbladder in situ

Clayton

Connor

Alexakis

et al. 2006

British Journal of Surgery

147

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“…In contrast, the RCT published by Rábago et al [86] reported similar percentages of CBD clearance between the two approaches. A study by Hong et al [87] compared LCDE and RVT, and no differences were found between the two groups regarding duration of surgery, success rate, complications, retained stones, hospital stay, and costs. Another study [88] also reported similar ductal stone clearance rates, although LCBDE was associated with shorter hospital costs.…”

Section: Comparing the Different Techniquesmentioning

confidence: 99%

Modern approach to cholecysto-choledocholithiasis

Bencini¹

2014

WJGE

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Gallstones and common bile duct calculi are found to be associated in 8%-20% of patients, leading to possible life-threatening complications, such as acute biliary pancreatitis, jaundice and cholangitis. The gold standard of care for gallbladder calculi and isolated common bile duct stones is represented by laparoscopic cholecystectomy and endoscopic retrograde cholangiopancreatography, respectively, while a debate still exists regarding how to treat the two diseases at the same time. Many therapeutic options are also available when the two conditions are associated, including many different types of treatment, which local professionals often administer. The need to limit maximum discomfort and risks for the patients, combined with the economic pressure of reducing costs and utilizing resources, favors single-step procedures. However, a multitude of data fail to strongly demonstrate the superiority of any technique (including a two or multi-step approach), while rigorous clinical trials that include so many different types of treatment are still lacking, and it is most likely unrealistic to conduct them in the future. Therefore, the choice of the best management is often led by the local presence of professional expertise and resources, rather than by a real superiority of one strategy over another.

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“…Hong et al compared LC -LCBDE versus ERCP-LC, they reported a success rate of 89.36% (126/141 patients) in the LC -LCBDE group and 91.40% success rate (85/93 patients) in the ERCP-LC group. Cannulation of the CBD failed in six patients of their ERCP-LC group [12]. Williams and Vellacot failed to cannulate the CBD in two of their 13 patients.…”

Section: Discussionmentioning

confidence: 97%

“…Many series reported Successful laparoscopic CBD exploration and clearance in 60-90% of cases [8,12,17,18].. Berthou et al found a 97.1% success rate for laparoscopic common bile duct exploration (LCBDE) followed by choledochotomy [19].…”

Section: Discussionmentioning

confidence: 99%

Single-Session Treatment of Cholecysto-Choledocholithiasis: Totally Laparoscopic <i>versus</i> Laparo-Endoscopic

Sayed¹

2017

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Abstract:Background: This study details Assiut and South Valley universities experience in treating combined gall bladder and common bile duct stones in a single session, either with Endoscopic Retrograde Cholangio-Pancreatography (ERCP) for Common Bile Duct (CBD) stone extraction followed by laparoscopic cholecystectomy (LC), or totally laparoscopic treatment. Patients and methods: In this prospective randomized study, 46 consecutive patients with confirmed cholecystocholedocholithiasis were randomized to 2 groups. Group (A) included 24 patients treated with single-session ERCP for CBD stone extraction and laparoscopic cholecystectomy [ERCP-LC]. Group (B) included 22 patients treated with laparoscopic CBD exploration and laparoscopic cholecystectomy [LCBDE-LC]. Demographic data, operative time, CBD clearance success rate, short term complications and duration of hospital stay were recorded. Results: Patients included 28 females and 18 males with mean age of 42.1 ± 12.1 years (range 17 -71 years). In 22/24 patients (91.7%) ERCP-LC was done successfully. Mean operative time was 105 ± 19.1 minutes (50-150 min.). No intra-operative complications occurred. Early post-operative complications occurred in 3 patients (12.5%). Mean hospital stay was 2.1 ± 0. 91 days (1-6 days). In the other group, LCBDE-LC was performed successfully in 22/22 patients (100%). Mean operative time was 145 ± 23 minutes (100-180 min.). Minor intra-operative complications (bleeding) occurred in 2/22 cases (9%). Minor early post-operative complications (bile leak, ileus, bleeding) occurred in 4/22 patients (18%). Mean hospital stay was 2.8 ± 0.83 days (2-7 days). Conclusion: Single session ERCP-LC and LCBDE-LC procedures for management of cholecysto-choledocholithiasis are feasible, safe, and effective and have comparable outcome regarding success rate, peri-operative complications. ERCP-LC has statistically significant less operative time and less hospital stay.

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Comparison of laparoscopic cholecystectomy combined with intraoperative endoscopic sphincterotomy and laparoscopic exploration of the common bile duct for cholecystocholedocholithiasis

Abstract: Both LC-IOEST and LC-LCBDE were shown to be safe, effective, minimally invasive treatments for cholecystocholedocholithiasis.

Cited by 98 publications

References 17 publications

Meta-analysis of endoscopy and surgery versus surgery alone for common bile duct stones with the gallbladder in situ

Meta-analysis of endoscopy and surgery versus surgery alone for common bile duct stones with the gallbladder in situ

Modern approach to cholecysto-choledocholithiasis

Single-Session Treatment of Cholecysto-Choledocholithiasis: Totally Laparoscopic <i>versus</i> Laparo-Endoscopic

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Comparison of laparoscopic cholecystectomy combined with intraoperative endoscopic sphincterotomy and laparoscopic exploration of the common bile duct for cholecystocholedocholithiasis

Abstract: Both LC-IOEST and LC-LCBDE were shown to be safe, effective, minimally invasive treatments for cholecystocholedocholithiasis.

Cited by 98 publications

References 17 publications

Meta-analysis of endoscopy and surgery versus surgery alone for common bile duct stones with the gallbladder in situ

Meta-analysis of endoscopy and surgery versus surgery alone for common bile duct stones with the gallbladder in situ

Modern approach to cholecysto-choledocholithiasis

Single-Session Treatment of Cholecysto-Choledocholithiasis: Totally Laparoscopic &lt;i&gt;versus&lt;/i&gt; Laparo-Endoscopic

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Single-Session Treatment of Cholecysto-Choledocholithiasis: Totally Laparoscopic <i>versus</i> Laparo-Endoscopic