[Comparison of laparoscopic cholecystectomy combined with intraoperative endoscopic sphincterotomy and combined with laparoscopic common bile duct exploration in treatment of: cholelithiasis and calculus of common bile duct]

Abstract

Objective: To explore the best mini-invasive treatment for cholelithiasis and calculus of common bile duct.

Methods: 275 patients diagnosed as with cholelithiasis and choledocholithiasis were divided randomly into 2 groups: laparoscopic cholecystectomy (LC) combined with intraoperative endoscopic sphincterotomy (IOEST) and laparoscopic exploration of the common bile duct (LCBDE) LC- LCBDE group, n = 146), and LC combined with intraoperative endoscopic sphincterotomy (IOEST) (LC-IOEST group, n = 129). The surgical time, surgical successful rate, stone number, complication rate, residual common bile duct stone rate, postoperative hospital stay, and hospitalization cost were compared.

Results: No difference was found between these two groups in terms of the surgical time, surgical successful rate, the stone number, complication rate, residual common bile duct stone rate, postoperative hospital stay, and hospitalization cost.

Conclusion: LC-IOEST and LC-LCBDE are both effective minimally invasive treatments for cholelithiasis and calculus of common bile duct.