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BMC Surgery
Published in: BMC Surgery 1/2023

Open Access 01-12-2023 | Choledocholithiasis | Research

Comparative analysis of laparoscopic choledocholithiasis and ERCP treatment after cholecystectomy

Authors: Jun Zhang, Liqiang Li, You Jiang, Wenbo Li, Liang Li

Published in: BMC Surgery | Issue 1/2023

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Abstract

Objective

To compare the overall efficacy of laparoscopic common bile duct exploration(LCBDE) with endoscopic retrograde cholangiopancreatography (ERCP ) after cholecystectomy.

Methods

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.

Results

①The 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).

Conclusion

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.
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Metadata
Title
Comparative analysis of laparoscopic choledocholithiasis and ERCP treatment after cholecystectomy
Authors
Jun Zhang
Liqiang Li
You Jiang
Wenbo Li
Liang Li
Publication date
01-12-2023
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2023
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/s12893-023-02207-z

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