The comparision of ERCP and laparoscopic common bile duct exploration to treat gallbladder stones combined with common bile duct stones

doi:10.3877/cma.j.issn.1674-6899.2016.01.010

Abstract

Abstract:

Objective

To compare the advantages and disadvantages of ERCP and laparoscopic common bile duct exploration for the treatment of gallbladder stones combined with common bile duct stones.

Methods

The therapeutic results of 197 cases who underwent ERCP or LCBDE were reviewed retrospectively to find out the advantages and disadvantages of the two operations.

Results

There are 6 cases operation failure, 32 cases acute pancreaitis, 1 case duodenum perforation and 3 cases common bile duct stones recurrence in the ERCP group(99 cases). There are no operation failure, 8 cases with T-tube drainage , no serious complications and no bile duct stones recurrence in the LCBDE group(98 cases). The hospital stay time and hospital costs of LCBDE group is lower than the ERCP group[(5± 2) d vs (3±1)d, (2.23±0.85) Million yuan vs (1.73± 0.43) Million yuan].

Conclusions

The ERCP and LCBDE are effective methods for the treatment of Gallbladder stones combined with common bile duct stones. For most patients, the LCBDE is the first choice method, and for some special patient , ERCP is a good choice.

Key words: Gallbladder stones, Common bile duct stones, Laparoscopy, Gommon bile duct exploration, Endoscopic retrograde cholangiopancreatography, Endoscopic sphincterotomy

Xianglong Tan, Ruihua Xue, Dadong Wang. The comparision of ERCP and laparoscopic common bile duct exploration to treat gallbladder stones combined with common bile duct stones[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2016, 09(01): 37-40.

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References 15

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项目	ERCP组(99例)	LCBDE组(98例)
性别(男∶女)	43∶56	42∶56
年龄(岁)	54.7 ± 8.9	61.8 ± 9.9^a
合并胰腺炎(例)	20	10^a
合并急性胆管炎(例)	35	40^a

项目	ERCP组(99例)	LCBDE组(98例)
性别(男∶女)	43∶56	42∶56
年龄(岁)	54.7 ± 8.9	61.8 ± 9.9^a
合并胰腺炎(例)	20	10^a
合并急性胆管炎(例)	35	40^a

项目	ERCP组(99例)	LCBDE组(98例)
手术失败(例)	6	0^a
残余结石或结石复发(例)	3	0^a
手术后合并胰腺炎(例)	32	0^a
术后平均住院时间(d)	5 ± 2	3 ± 1^a
平均住院费用(万元)	2.23 ± 0.85	1.73 ± 0.43^a
术后平均带管时间(d)	4 ± 2	3 ± 1^a
严重并发症(十二指肠壁穿孔，例)	1	0^a

项目	ERCP组(99例)	LCBDE组(98例)
手术失败(例)	6	0^a
残余结石或结石复发(例)	3	0^a
手术后合并胰腺炎(例)	32	0^a
术后平均住院时间(d)	5 ± 2	3 ± 1^a
平均住院费用(万元)	2.23 ± 0.85	1.73 ± 0.43^a
术后平均带管时间(d)	4 ± 2	3 ± 1^a
严重并发症(十二指肠壁穿孔，例)	1	0^a

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