Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Surgical Endoscopy
Published in: Surgical Endoscopy 8/2016

01-08-2016

One-stage laproendoscopic procedure versus two-stage procedure in the management for gallstone disease and biliary duct calculi: a systemic review and meta-analysis

Authors: Pankaj Prasson, Xueli Bai, Qi Zhang, Tingbo Liang

Published in: Surgical Endoscopy | Issue 8/2016

Login to get access

Abstract

Background

Laparoscopic common bile duct exploration and endoscopic retrograde cholangiopancreatography (ERCP) are secure and effective techniques that recently been used to treat bile duct stones. The purpose of this research was to assess the intra-procedural efficacy and postprocedural upshots of the laparoscopic common bile duct exploration plus laparoscopic cholecystectomy (LCBDE) and ERCP plus laparoscopic cholecystectomy (ERCP + LC).

Methods

All studies contrasting one-stage (LCBDE) with two-stage (ERCP/EST + LC) managements in patients with concomitant gallstones and common bile duct (CBD) stones were included. The primary outcomes were CBD stone clearance, postoperative morbidity, and mortality, while secondary outcomes were conversion with other techniques, duration of stay in hospital, number of procedures used per patient, and operating time. Data were pooled by meta-analysis.

Results

Fourteen studies with 1600 participants were identified. Each arm contains 800 participants. There is no significant difference between the two arms regarding successful CBD stone clearance (RR = 0.96, P = 0.15), mortality (RR = 1.74, P = 0.33), morbidity (RR = 0.89, P = 0.32), conversion to additional procedure (RR = 1.44, P = 0.09), operating time (MD = −1.43 min, P = 0.95), hospital stay (MD = 1.31 days, P = 0.17), and retained stone rate (RR = 1.73, P = 0.38).

Conclusions

One- and two-stage management had similar efficacy and safety in terms of CBD stone clearance rate, mortality, morbidity, operating time, hospital stay, and retained stone rate. One-stage management may reduce additional procedure.
Literature
1.
Collins C, Maguire D, Ireland A, Fitzgerald E, O’Sullivan GC (2004) A prospective study of common bile duct calculi in patients undergoing laparoscopic cholecystectomy: natural history of choledocholithiasis revisited. Ann Surg 239:28–33CrossRefPubMedPubMedCentral
2.
3.
Hemli JM, Arnot RS, Ashworth JJ, Curtin AM, Simon RA, Townend DM (2004) Feasibility of laparoscopic common bile duct exploration in a rural centre. ANZ J Surg 74:979–982CrossRefPubMed
4.
5.
Fitzgibbons RJ Jr, Gardner GC (2001) Laparoscopic surgery and the common bile duct. World J Surg 25:1317–1324CrossRefPubMed
6.
Ding G, Cai W, Qin M (2014) Single-stage vs. two-stage management for concomitant gallstones and common bile duct stones: a prospective randomized trial with long-term follow-up. J Gastrointest Surg 18:947–951CrossRefPubMed
7.
Gigot JF, Navez B, Etienne J, Cambier E, Jadoul P, Guiot P, Kestens PJ (1997) A stratified intraoperative surgical strategy is mandatory during laparoscopic common bile duct exploration for common bile duct stones. Lessons and limits from an initial experience of 92 patients. Surg Endosc 11:722–728CrossRefPubMed
8.
Berthou JC, Drouard F, Charbonneau P, Moussalier K (1998) Evaluation of laparoscopic management of common bile duct stones in 220 patients. Surg Endosc 12:16–22CrossRefPubMed
9.
Carroll BJ, Phillips EH, Chandra M, Fallas M (1993) Laparoscopic transcystic duct balloon dilatation of the sphincter of Oddi. Surg Endosc 7:514–517CrossRefPubMed
10.
11.
Bansal VK, Misra MC, Garg P, Prabhu M (2010) A prospective randomized trial comparing two-stage versus single-stage management of patients with gallstone disease and common bile duct stones. Surg Endosc 24:1986–1989CrossRefPubMed
12.
Noble H, Tranter S, Chesworth T, Norton S, Thompson M (2009) A randomized, clinical trial to compare endoscopic sphincterotomy and subsequent laparoscopic cholecystectomy with primary laparoscopic bile duct exploration during cholecystectomy in higher risk patients with choledocholithiasis. J Laparoendosc Adv Surg Tech A 19:713–720CrossRefPubMed
13.
Rogers SJ, Cello JP, Horn JK, Siperstein AE, Schecter WP, Campbell AR, Mackersie RC, Rodas A, Kreuwel HT, Harris HW (2010) Prospective randomized trial of LC + LCBDE vs ERCP/S + LC for common bile duct stone disease. Arch Surg 145:28–33PubMed
14.
Cuschieri A, Lezoche E, Morino M, Croce E, Lacy A, Toouli J, Faggioni A, Ribeiro VM, Jakimowicz J, Visa J, Hanna GB (1999) E.A.E.S. multicenter prospective randomized trial comparing two-stage vs single-stage management of patients with gallstone disease and ductal calculi. Surg Endosc 13:952–957CrossRefPubMed
15.
Ferulano GP, Dilillo S, D’Ambra M, Lionetti R, Di Silverio P, Capasso S, Rutigliano M (2011) Laparoscopic one-stage vs endoscopic plus laparoscopic management of common bile duct stones—a prospective randomized study. Advances in Endoscopic Surgery Prof. Cornel Iancu (ED.), pp. 291–306. ISBN: 978-953-307-717-8
16.
Koc B, Karahan S, Adas G, Tutal F, Guven H, Ozsoy A (2013) Comparison of laparoscopic common bile duct exploration and endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy for choledocholithiasis: a prospective randomized study. Am J Surg 206:457–463CrossRefPubMed
17.
Bansal VK, Misra MC, Rajan K, Kilambi R, Kumar S, Krishna A, Kumar A, Pandav CS, Subramaniam R, Arora MK, Garg PK (2014) Single-stage laparoscopic common bile duct exploration and cholecystectomy versus two-stage endoscopic stone extraction followed by laparoscopic cholecystectomy for patients with concomitant gallbladder stones and common bile duct stones: a randomized controlled trial. Surg Endosc 28:875–885CrossRefPubMed
18.
Sgourakis G, Karaliotas K (2002) Laparoscopic common bile duct exploration and cholecystectomy versus endoscopic stone extraction and laparoscopic cholecystectomy for choledocholithiasis. A prospective randomized study. Minerva Chir 57:467–474PubMed
19.
Nathanson LK, O’Rourke NA, Martin IJ, Fielding GA, Cowen AE, Roberts RK, Kendall BJ, Kerlin P, Devereux BM (2005) Postoperative ERCP versus laparoscopic choledochotomy for clearance of selected bile duct calculi: a randomized trial. Ann Surg 242:188–192CrossRefPubMedPubMedCentral
20.
Rhodes M, Sussman L, Cohen L, Lewis MP (1998) Randomised trial of laparoscopic exploration of common bile duct versus postoperative endoscopic retrograde cholangiography for common bile duct stones. Lancet 351:159–161CrossRefPubMed
21.
Tzovaras G, Baloyiannis I, Zachari E, Symeonidis D, Zacharoulis D, Kapsoritakis A, Paroutoglou G, Potamianos S (2012) Laparoendoscopic rendezvous versus preoperative ERCP and laparoscopic cholecystectomy for the management of cholecysto-choledocholithiasis: interim analysis of a controlled randomized trial. Ann Surg 255:435–439CrossRefPubMed
22.
Sahoo MR, Kumar AT, Patnaik A (2014) Randomised study on single stage laparo-endoscopic rendezvous (intra-operative ERCP) procedure versus two stage approach (Pre-operative ERCP followed by laparoscopic cholecystectomy) for the management of cholelithiasis with choledocholithiasis. J Minim Access Surg 10:139–143CrossRefPubMedPubMedCentral
23.
Morino M, Baracchi F, Miglietta C, Furlan N, Ragona R, Garbarini A (2006) Preoperative endoscopic sphincterotomy versus laparoendoscopic rendezvous in patients with gallbladder and bile duct stones. Ann Surg 244:889–893CrossRefPubMedPubMedCentral
24.
Tang CN, Tsui KK, Ha JP, Siu WT, Li MK (2006) Laparoscopic exploration of the common bile duct: 10-year experience of 174 patients from a single centre. Hong Kong Med J 12:191–196PubMed
25.
Donkervoort SC, van Ruler O, Dijksman LM, van Geloven AA, Pierik EG (2010) Identification of risk factors for an unfavorable laparoscopic cholecystectomy course after endoscopic retrograde cholangiography in the treatment of choledocholithiasis. Surg Endosc 24:798–804CrossRefPubMed
26.
Allen NL, Leeth RR, Finan KR, Tishler DS, Vickers SM, Wilcox CM, Hawn MT (2006) Outcomes of cholecystectomy after endoscopic sphincterotomy for choledocholithiasis. J Gastrointest Surg 10:292–296CrossRefPubMed
27.
Sand J, Airo I, Hiltunen KM, Mattila J, Nordback I (1992) Changes in biliary bacteria after endoscopic cholangiography and sphincterotomy. Am Surg 58:324–328PubMed
28.
Tranter SE, Thompson MH (2002) Comparison of endoscopic sphincterotomy and laparoscopic exploration of the common bile duct. Br J Surg 89:1495–1504CrossRefPubMed
29.
Lu J, Xiong XZ, Cheng Y, Lin YX, Zhou RX, You Z, Wu SJ, Cheng NS (2013) One-stage versus two-stage management for concomitant gallbladder stones and common bile duct stones in patients with obstructive jaundice. Am Surg 79:1142–1148PubMed
Metadata
Title
One-stage laproendoscopic procedure versus two-stage procedure in the management for gallstone disease and biliary duct calculi: a systemic review and meta-analysis
Authors
Pankaj Prasson
Xueli Bai
Qi Zhang
Tingbo Liang
Publication date
01-08-2016
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 8/2016
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-015-4657-0

Other articles of this Issue 8/2016

Surgical Endoscopy 8/2016 Go to the issue

OriginalPaper

Covered stents in cervical anastomoses following esophagectomy

OriginalPaper

A novel approach of optical biopsy using probe-based confocal laser endomicroscopy for peritoneal metastasis

OriginalPaper

Minimally invasive video-assisted submandibular sialadenectomy: surgical technique and results from two institutions

OriginalPaper

Current practices in biliary surgery: Do we practice what we teach?

Guidelines

SAGES guidelines for laparoscopic ventral hernia repair

OriginalPaper

A comparison of endoscopic treatments in rectal carcinoid tumors