Combined Endoscopic and Laparoscopic Treatment of Gallstones and Bile Duct Stones
Author Information
Author(s): A. LONGHINI, R. PELLEGRINO, A.R. KAZEMIAN, P. BORELLI, G. MUNARINI, E. BUCCILLI, G. MARCOLLI
Primary Institution: Department of General Surgery, Civil Hospital, Sondrio, Italy
Hypothesis
The sequential treatment of endoscopic and laparoscopic methods is the fastest, safest, and most reliable approach for treating bile duct stones.
Conclusion
The study found that the combined endoscopic and laparoscopic treatment successfully cleared bile duct stones in 87.1% of cases with low morbidity and no mortality.
Supporting Evidence
- Endoscopic cleaning of the choledochus was performed in 87.1% of cases.
- There were no mortality cases reported during the study.
- The morbidity rate associated with the procedures was 4.2%.
- ERCP was indicated in 312 patients based on pre-operative investigations.
- Complications from ERCP occurred in 1.6% of cases.
- Endoscopic sphincterotomy was performed in 168 cases with a failure rate of 12.9%.
- The average interval between endoscopic sphincterotomy and laparoscopic cholecystectomy was 6 days.
Takeaway
Doctors can use a mix of two methods to help patients with gallstones and bile duct stones, and it works really well most of the time.
Methodology
Patients underwent laparoscopic cholecystectomy and were assessed for bile duct stones using ERCP, followed by either endoscopic sphincterotomy or laparoscopic treatment.
Limitations
The study did not include patients with previous cholecystectomy in the analysis of endoscopic sphincterotomy outcomes.
Participant Demographics
Average age of patients was 65.5 years, with a range from 24 to 94 years.
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