Comparing one-stage and two-stage treatment approach of cholelithiasis and choledocholithiasis
Comparing one-stage and two-stage treatment approach of cholelithiasis and choledocholithiasis
Aim: Complicated bile duct stones with choledocholithiasis may cause serious morbidity and mortality. The aim of this study was to evaluate; cost, frequency of the imaging methods used and the length of the hospital stay after the one-stage and two-stage procedures.Material and Methods: Endoscopic Retrograde Cholangio Pancreatography (ERCP) and Laparoscopic Cholecystectomy (LC) was performed in 16 out of 250 LC cases and was named as Group A; other 12 patients have had interval LC 6-8 weeks after the ERCPprocedure and were named as Group B. All ERCP and LC were performed by the same surgeon.Results: The duration of hospitalization in Group A was 6 [4-9.5] days and was statistically significantly longer in the group B patients which was 8.5 [9.5-10.5] days (p
___
- ASGE Standards of Practice Committee, Maple JT, BenMenachem T, Anderson MA, Appalaneni V, Banerjee S, Cash BD, et al. The role of endoscopy in the evaluation of suspected choledocholithiasis. Gastrointest Endosc. 2010;71(1):1-9.
- Williams EJ, Green J, Beckingham I, Parks R, Martin D, Lombard M. Guidelines on the management of common bile duct stones (CBDS). Gut 2008; 57:1004-21.
- Zhu HY, Xu M, Shen HJ, Yang C, Li F, Li KW, et al. A metaanalysis of single-stage versustwo-stage management for concomitant gallstones and common bile ductstones. Clin Res Hepatol Gastroenterol 2015;39(5):584-93.
- March B, Burnett D, Gani J. Single-stage laparoscopic cholecystectomy and intraoperative endoscopic retrograde cholan giopan creatography: is this strategy feasible in Australia? ANZ J Surg 2016;86(11):874-7.
- Joshi MR, Rupakheti S, Bohara TP, Singh DR. Single stage management of concomitant cholelithiasis and choledocholithiasis. JNMA J Nepal Med Assoc 2017;56(205):117-23.
- Roulin D, Saadi A, Di Mare L, Demartines N, Halkic N. Early versus delayed cholecystectomy for acute cholecystitis, arethe 72 hoursstilltherule?: a randomized trial. Ann Surg 2016;26485)717-22.
- de Sousa S, Tobler O, Iranmanesh P, Frossard JL, Morel P, Toso C. Management of suspected common bile duct stones on cholangiogram during same-stay cholecystectomy for acute gallstone-related disease. BMC Surg 2017;17(1):39.
- Cao AM, Eslick GD, Cox MR. Early cholecystectomy is superior to delayed cholecystectomy for acute cholecystitis: a meta-analysis. J Gastrointest Surg 2015;19(5):848-57.
- Ahn KS, Kim YH, Kang KJ, Kim TS, Cho KB, Kim ES. Impact of Preoperative ERCP on laparoscopic cholecystectomy: a case-controlled study with propensity score matching. World J Surg 2015;39(9):2235-42.
- Pisano M, Ceresoli M, Allegri A, Belotti E, Coccolini F, Colombi R. Single center retrospective analysis of early vs. delayed treatment in acute calculous cholecystitis: application of a clinical pathway and an economic analysis. Ulus Travma Acil Cerrahi Derg 2015;21(5):373-9.
- Sutton AJ, Vohra RS, Hollyman M, Marriott PJ, Buja A, Alderson D, Cost-effectiveness of emergency versus delayed laparoscopic cholecystectomy for acute gallbladder pathology. Br J Surg 2017;104(1):98-107.
- Hayama S, Ohtaka K, Shoji Y, Ichimura T, Fujita M, Senmaru N. Risk factors for difficult laparoscopic cholecystectomy in acute cholecystitis. JSLS 2016;20(4)pii: e2016.00065.
- Uysal E, Turel KS, Sipahi M, Isik O, Yilmaz N, Yilmaz FA. Comparison of early and interval laparoscopic cholecystectomy for treatment of acute cholecystitis. which is better? a multicentered study. Surg Laparosc Endosc Percutan Tech 2016;26(6):e117-e21.
- Kim SB, KimTN, Chung HH, Kim KH. Small gallstone size and delayed cholecystectomy increase the risk of recurrent pancreatobiliary complications after resolved acute biliary pancreatitis. Dig Dis Sci 2017;62(3)777-83.
- Degrate L, Bernasconi DP, Meroni P, Garancini M, Macchini D, Romano F, at.al. Mild acute biliary pancreatitis: the timing of cholecystectomy should not exceed index admission. Minerva Chir 2017;72(5):383-90.