Gallstones and common bile duct stones: single or separatedstep endoscopic retrograde cholangiopancreatography and laparoscopic cholecystectomy?

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Nhu Hiep Pham Trung Vy Pham Huu Thien Ho Hai Thanh Phan Anh Vu Pham Nhu Nguyen Phuong Tran Ngoc Sang Ho Thanh Xuan Nguyen Tien Nhan Van Nghiem Trung Tran Xuan Dong Pham Trung Hieu Mai

Abstract

Purpose: the treatment of concomitant gallstones and common bile duct (CBD) stones by endoscopic retrograde cholangiopancreatography (ERCP) following laparoscopic cholecystectomy (LC). The analysis of single-step or separated-step characteristics. Object: during the three years (2015-2017), 68 patients having CBD stones concomitant gallstones suitable criteria for inclusion at Hue Central Hospital. Retrospective clinical description study. Results: the average age is 52.2 (tolerance: 12.5) years (24-90) and the male/female ratio is 0.7/1 (27/41). Abdominal pain was the most common symptom 91.2%, which was followed by jaundice 51.5%; direct bilirubin increased by 27.3 (tolerance: 15.6) micromol/l (2.2-165). The size of CBD stones is 12.4 (tolerance: 3.2) mm (6-20), the size of gallstones is 11.3 (tolerance: 6.2) mm (5-36). The first time CBD stones 95.6%, recurrent CBD stones 4.4%. Single-step ERCP and LC 34 patients, separated-step group: ERCP 1.4 (tolerance: 2.5) times and secondary LC. Single-step ductal clearance 76.5%, separated-step ductal clearance 94.1% (p=0.041). Length of hospital stay 6.5 (tolerance: 4.3) days and 13.6 (tolerance: 2.2) days (p<0.0001). Conclusions: the rate of ductal clearance in the separated-step group was significantly higher than the single-step group with p=0.041. The indication of laparoscopic cholecystectomy immediately ERCP should be based on the patient's morbidity, the ductal clearance as well as the prognostic complications of ERCP.

 

DOI: https://doi.org/10.31276/VJSTE.60(3).55

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How to Cite
PHAM, Nhu Hiep et al. Gallstones and common bile duct stones: single or separatedstep endoscopic retrograde cholangiopancreatography and laparoscopic cholecystectomy?. Vietnam Journal of Science, Technology and Engineering, [S.l.], v. 60, n. 3, p. 55-58, sep. 2018. ISSN 2525-2461. Available at: <http://vietnamscience.vn/index.php/VJSTE/article/view/147>. Date accessed: 14 dec. 2018.
Section
LIFE SCIENCES