Laparoscopic common bile duct exploration versus endoscopic retrograde cholangiopancreatography for choledocholithiasis found at time of laparoscopic cholecystectomy: Analysis of a large integrated health care system database - 22/11/17
, Edwin G. Kim a, b, Bindupriya Chandrasekaran a, b, Vanessa Franz a, b, Charles N. Trujillo a, b, Asrai Mousa a, b, Deron J. Tessier a, Samir D. Johna a, b, David A. Santos cAbstract |
Background |
We compared endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic common bile duct exploration (LCBDE) for managing choledocholithiasis found at time of cholecystectomy.
Methods |
One hundred and five LCBDE (2005–2015) were compared to 195 LC/ERCP (2014–2015) from the Southern California Kaiser Permanente database.
Results |
LC/ERCP was more effective at clearing the CBD (98% vs. 88.6%, p = 0.01); but required more procedures per patient (mean ± standard deviation, 1.1 ± 0.4 vs. 2.0 ± 0.12, p < 0.001). Morbidity, hospital length of stay and readmission were not different (P > 0.05). Four patients failed ERCP, while 12 patients failed LCBDE and had subsequent ERCP (10) or CBD exploration (2). All patients with RYGB had successful LCBDE.
Conclusion |
LC/ERCP is better than LCBDE in clearing CBD stones, but has similar morbidity and is an effective alternative for patients with RYGB.
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Vol 214 - N° 6
P. 1075-1079 - décembre 2017 Retour au numéro
Article précédent
- Discussion of: “Returning from the acidotic abyss: Mortality in trauma patients with a pH < 7.0”
- Samuel W. Ross, Bradley W. Thomas, A. Britton Christmas, Kyle W. Cunningham, Ronald F. Sing
- Discussion of: “Laparoscopic common bile duct exploration versus endoscopic retrograde cholangiopancreatography for choledocholithiasis found at time of laparoscopic cholecystectomy: Analysis of a large integrated health care system database”
- Mohammed H. Al-Temimi, Edwin G. Kim, Bindupriya Chandrasekaran, Vanessa Franz, Charles N. Trujillo, Asrai Mousa, Deron J. Tessier, Samir D. Johna, David A. Santos
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