Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2009 Jan;92(1):8-11.

A same day approach for choledocholithiasis using endoscopic stone removal followed by laparoscopic cholecystectomy: a retrospective study

Thawatchai Akaraviputh  1 , Thitipong Rattanapan, Varut Lohsiriwat, Asada Methasate, Somkiat Aroonpruksakul, Darin Lohsiriwat
Affiliations
  • PMID: 19260236

A same day approach for choledocholithiasis using endoscopic stone removal followed by laparoscopic cholecystectomy: a retrospective study

Thawatchai Akaraviputh et al. J Med Assoc Thai. 2009 Jan.

Abstract

Objective: The timing of minimally invasive approach of choledocholithiasis, using endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC), is challenging. The aim of the present retrospective study was to assess the feasibility and safety of endoscopic stone removal for choledocholithiasis followed by same-day LC.

Material and method: Between October 2005 and February 2007, 27 patients diagnosed with choledocholithiasis were treated with this approach. Of these patients, nine (33%) had either pancreatitis or cholangitis. The mean age of the patients was 56 years (range, 29-78). ERCP was performed in the endoscopic unit, whereas LC was performed in the theater Success rate and clinical outcome were analyzed.

Results: Ninety-three percent clinical success was achieved. Two patients required conversion to opened cholecystectomy because of uncertain anatomy. There was no 30-day postoperative mortality. Two patients (7%) had postoperative complications (post-ERCP pancreatitis and superficial surgical site infection). The mean interval between the two procedures was 122 minutes (28-325). The mean operative time of ERCP was 25 minutes (15-30) and of LC was 83 minutes (30-140). The mean length of hospital stay was four days (range, 3-6).

Conclusion: The management of choledocholithiasis using endoscopic stone removal, followed by same day laparoscopic cholecystectomy, is safe and has good clinical outcomes.

PubMed Disclaimer