The efficacy and safety of laparoscopic common bile duct exploration and cholecystectomy for the treatment of difficult common bile duct stones combined with gallstones: a multicenter retrospective study
PurposeTo analyze the benefits of laparoscopic common bile duct exploration and laparoscopic cholecystectomy (LCBDE + LC) versus endoscopic retrograde cholangiopancreatography and/or endoscopic sphincterotomy following laparoscopic cholecystectomy (ERCP/EST + LC) for difficult common bile duct stones combined with gallstones.MethodsA retrospective analysis of consecutive patients with difficult common bile duct stones combined with gallstones in three hospitals from January 2016 to January 2021 was performed.ResultsERCP/EST + LC contributed to reducing postoperative drainage time. However, LCBDE + LC showed a higher rate of complete clearance, along with lower postoperative hospital stays, expenses and incidence of postoperative hyperamylasemia, pancreatitis, re-operation and recurrence. In addition, LCBDE + LC showed safe and feasible performance in the elderly and patients with previous upper abdominal surgery.ConclusionIt is an effective and safe method for LCBDE + LC for difficult common bile duct stones combined with gallstones.
第一作者机构：[1]Tongji Univ, Shanghai Peoples Hosp 10, Dept Gen Surg, Sch Med, Shanghai, Peoples R China
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通讯作者：
推荐引用方式(GB/T 7714)：
Xie Wangcheng,Ma Zhilong,Zuo Jieliang,et al.The efficacy and safety of laparoscopic common bile duct exploration and cholecystectomy for the treatment of difficult common bile duct stones combined with gallstones: a multicenter retrospective study[J].LANGENBECKS ARCHIVES OF SURGERY.2023,408(1):doi:10.1007/s00423-023-02923-3.
APA：
Xie, Wangcheng,Ma, Zhilong,Zuo, Jieliang,Gong, Jian,Yu, Weidi...&Yang, Tingsong.(2023).The efficacy and safety of laparoscopic common bile duct exploration and cholecystectomy for the treatment of difficult common bile duct stones combined with gallstones: a multicenter retrospective study.LANGENBECKS ARCHIVES OF SURGERY,408,(1)
MLA：
Xie, Wangcheng,et al."The efficacy and safety of laparoscopic common bile duct exploration and cholecystectomy for the treatment of difficult common bile duct stones combined with gallstones: a multicenter retrospective study".LANGENBECKS ARCHIVES OF SURGERY 408..1(2023)
