Laparoscopic cholecystectomy plus exploration of the common bile duct in comparison with laparoscopic cholecystectomy and endoscopic sphincterotomy for secondary choledocholithiasis

/Zhang Chunju

(張春菊，Dept Gener Surg，Shengjing Hosp，China Med Univ，Shenyang 110004)…∥Chin J Gen Surg.-2011，17(11).-736～738

ObjectiveTo compare the effects between laparoscopic cholecystectomy(LC)+laparoscopic common bile duct exploration(LCBDE)and endoscopic sphincterotomy(EST)+laparoscopic cholecystectomy(LC)for secondary choledocholithiasis.MethodsThe clinical data of patients with secondary choledocholithiasis receiving LC+LCBDE or EST+LC from January 2008 to December 2009 were retrospectively compared.Parameters included operation time，postoperative complication，length of stay，cost of hospitalization.All patients received follow up of 1 year.Enumeration data was analyzed by chisquare test and measurement data was analyzed by t test.ResultsIn this study 87 patients received LC+LCBDE，76 patients received EST+LC.Patients in LC + LCBDE group had shorter hospital stay，less hospital charges and less complications.There was not difference in the procedure success rate and stone remanent rate between the two groups.ConclusionLC+LCBDE could be used as the first choice for patients with gallstones and secondary choledocholithiasis.12 refs，2 tabs.