Laparoscopic choledocholithiasis superior to ERCP for common bile duct stones after cholecystectomy

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2023-10-10T09:45:51+05:30 | Updated On 10 Oct 2023 3:09 PM IST

Laparoscopic choledocholithiasis superior to ERCP for common bile duct stones after cholecystectomy suggests a new study published in the BMC Surgery.

A study was done to compare the overall efficacy of laparoscopic common bile duct exploration(LCBDE) with endoscopic retrograde cholangiopancreatography (ERCP ) after cholecystectomy.

From January 2017 to July 2021, Seventy patients with Choledocholithiasis after cholecystectomy who were admitted to our hospital were selected and divided into ERCP and LCBDE groups. comparison of baseline characteristics, clinical efficacy and postoperative complications between the ERCP and LCBDE.

The overall efficacy rate of LCBDE was 97.1%, while the overall efficacy rate in the ERCP group was 76.6%. The LCBDE group demonstrated a significantly higher overall effective rate compared to the ERCP group, with a statistically significant difference (p < 0.05). ②The preoperative and postoperative complications of the LCBDE group were visibly lower than the other group (P < 0.05). The postoperative time to oral intake, postoperative ventilation time, length of hospital stay, and hospital costs were higher in the ERCP group compared to the LCBDE group, with a statistically significant difference (P < 0.05).

In the treatment of common bile duct stones after cholecystectomy, LCBDE is a superior choice compared to ERCP in terms of stone diameter, quantity, clearance rate, and hospital costs.

The datasets generated during and/or analyzed during the current study are not publicly available but are available from the corresponding author on reasonable request.

Calculus of the common bile duct in selected participants after cholecystectomy will be removed by using endoscopic retrograde cholangio-pancreatography(ERCP) combined with sphincter of Oddi. This treatment is of obvious therapeutic effect, with a success rate of 76–97%.

Reference:

Zhang, J., Li, L., Jiang, Y. et al. Comparative analysis of laparoscopic choledocholithiasis and ERCP treatment after cholecystectomy. BMC Surg 23, 304 (2023). https://doi.org/10.1186/s12893-023-02207-z

Keywords:

Zhang, J., Li, L., Jiang, Y, Comparative, analysis, laparoscopic, choledocholithiasis, ERCP, treatment, after, cholecystectomy, BMC Surgery

LaparoscopiccholedocholithiasissuperiorERCPcommonbileductstonesaftercholecystectomyBMC Surgey

Source : BMC Surgery

Dr. Shravani Dali

Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751