Retrospective Comparison of One-stage versus Sequential ERCP and Laparoscopic Cholecystectomy in Patients with Symptomatic Gallstones and Suspected Common Bile Duct Stones
Objective: To establish the feasibility and the results of one stage endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC) compared to the sequential ERCP and LC.
Patients and Methods: The results in 14 patients (7 males, 7 females, mean age 56.4 years) who underwent one-stage ERCP and LC were reviewed and compared to the results of 38 patients (11 males, 27 females, mean age 57 years) who underwent sequential ERCP and LC. The success rates, postoperative complications, overall operative time and length of hospital stay were analyzed.
Results: The one-stage group had LC success rate of 64%, 21% postoperative complication rate, with a median operative time of 155 minutes and a median hospital stay of 7 days. The sequential group had LC success rate of 92%, 8% postoperative complication rate, with a median operative time of 137 minutes and a median hospital stay of 8.5 days.
Conclusions: Single stage ERCP and LC can be performed with no significant differences in the overall operative time, postoperative complication rate and length of hospital stay.
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