Clinical comparative analysis on LCBDE + LC and ERCP/EST + LC for gall stones and choledocholithiasis / 中华普通外科杂志

ABSTRACT

Objective To Compare the therapeutic effects of laparoscopic cholecystectomy (LC) + laparoscopic common bile duct exploration (LCBDE) and primary suture with endoscopic retrograde cholangiopancreatography (ERCP)/endoscopic sphincterotomy (EST) + LC for cholecystolithiasis combined with choledocholithiasis.Methods The clinical data of 144 patients with cholecystolithiasis and choledocholithiasis who were treated in First Affiliated Hospital,Xinjiang Medical University from Dec 2014 to Jan 2016 were retrospectively analyzed,72 cases being treated by LC + LCBDE (group A) and 72 cases by ERCP/EST + LC (group B).The hospitallization time,hospitalization costs and complication rate were compared between the two groups.Results There were no statistically differences in terms of incidence of postoperative complication (P ＞ 0.05) in two groups.However,hospital stay [(10.25 ± 1.26) d vs.(14.25 ± 1.50)d),P =0.006] and hospitalization costs [(19 600 ± 1 521) yuan vs.(23 931 ± 1 629) yuan,P =0.008] were in favor of LC + LCBDE group than those in ERCP/EST + LC group.Conclusions LC + LCBDE is better than ERCP/EST + LC in the treatment of gall stone and choledocholithiasis.