Comparison of surgical efficiency of laparoscopic cholecystectomy and ERCP in treatment of cholecystolithiasis and choledocholithiasis between one stage approach and two stage procedure

Abstract

Objective To explore the clinical effect of laparoscopic cholecystectomy(LC) combined with endoscopic retrograde cholangiopancreatography (ERCP) in treatment of cholecystolithiasis combined with choledolithiasis in one stage approach compared with two stage procedure. Methods A total of 191 patients with cholecystolithiasis and choledocholithiasis admitted to our hospital from April 2018 to April 2020 were divided into two groups. Ninty-eight patients were treated with LC and ERCP in one stage approach (study group) and 93 patients in two stage procedure(control group). Operative time, bleeding loss, postoperative length of hospital stay, success rate, complication and hospital cost were compared between two groups. Results Compared with two stage procedure in control group, operative time, postoperative length of hospital stay and hospital cost (P<0.05) reduced significantly in one stage approach(study group), and there was no significant difference between two groups in bleeding loss, success rate, and postoperative complications (P>0.05). Conclusions LC with ERCP in one stage approach would be safe and feasible for the patients of cholecystolithiasis and choledolithiasis with advantages of short both operative time and hospital stay and low cost.

Keywords

• |cholecystolithiasis|choledocholithiasis|laparoscopic cholecystectomy|endoscopic retrograde cholangiopancreatography