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

被引：24

作者：

Al-Temimi, Mohammed H. ^{[1
,2
]}

Kim, Edwin G. ^{[1
,2
]}

Chandrasekaran, Bindupriya ^{[1
,2
]}

Franz, Vanessa ^{[1
,2
]}

Trujillo, Charles N. ^{[1
,2
]}

Mousa, Asrai ^{[1
,2
]}

Tessier, Deron J. ^{[1
]}

Johna, Samir D. ^{[1
,2
]}

Santos, David A. ^{[3
]}

机构：

[1] Arrowhead Reg Med Ctr, 400 North Pepper Ave, Colton, CA 92324 USA

[2] Kaiser Permanente Fontana Med Ctr, Fontana, CA USA

[3] Univ Texas MD Anderson Canc Ctr, Houston, TX 77030 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2017年 / 214卷 / 06期

关键词：

SINGLE-STAGE MANAGEMENT; CONCOMITANT GALLSTONES; RANDOMIZED-TRIAL; 2-STAGE; COMPLICATIONS; CALCULI; STONES; ERCP;

D O I：

10.1016/j.amjsurg.2017.08.030

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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. (C) 2017 Elsevier Inc. All rights reserved.

引用

页码：1075 / 1079

页数：5

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