The Comparative Analysis Between The Laparosocopic Common Bile Duct Exploration And Endoscopic Sphincterotomy Combined With Laparoscopic Cholecystectomy In The Treatment Of Cholecystolithiasis And Choledocholithiasis

Objective:To evaluate the effects of laparoscopic common bile duct exploration(LCBDE) and endoscopic retrograde cholangiopancreaticography and endoscopic sphincterotomy(ERCP/EST) combined with laparoscopic cholecystectomy(LC) in the treatment of cholecystolithiasis and choledocholithiasis.Methods:The clinical data of patients suffering from cholecystolithiasis and choledocholithiasis from Jan.2012to Jul.2013were retrospectively analyzed.LC+LCBDE was performed in124cases and ERCP/EST combined LC was performed in123cases. Parameters including common bile duct(CBD) diameter,stone size,hospitalization cost,hospital stay,postoperative complications, residual bile duct stone incidence were comparatively studied. Results:There was no statistical difference in the number of stone, conversion rate and residual bile duct stones incidence.But there were significant difference in CBD diameter, stone size, hospitalization cost,hospital stay,and early postoperative complication. Conclusions: Both of LC+LCBDE and ERCP/EST+LC are safe and reliable to treat patients with cholecystolithiasis and choledocholithiasis.The treatment for patients must be individualized.LC+LCBDE is better than ERCP/EST combined LC.