LC+LCBDE Vs. ERCP+LC Management For Cholecystolithiasis And Choledocholithiasis: A Retrospective Clinical Study

Objective: To analyze the therapeutic effect of laparoscope(laparoscopic cholecystectomy and common bile duct exploration,LC+LCBDE)and endoscope(endoscopic retrograde cholangiopancreatography and laparoscopic cholecystectomy,ERCP + LC)in treatment of cholecystolithiasis and choledocholithiasis.Methods:124 cases of cholecystolithiasis and choledocholithiasis patients were collected in our hospital from January 2011 and December 2016,all patients were divided into the laparoscopic cholecystectomy and common bile duct exploration(LC+LCBDE group)and endoscopic retrograde cholangiopancreatography and laparoscopic cholecystectomy(ERCP+LC).Compare the success rate,operation time,blood loss,postoperative exhaust time,postoperative hospital stay,recent complication and forward complication among two groups.Results: There was significant difference between LC+LCBDE group and ERCP+LC group in operation time,postoperative complication,blood loss,postoperative hospital stay(P<0.05).For the operation time and postoperative complications,LC+LCBDE group is better than ERCP+LC group.For the blood loss,postoperative hospital stay,postoperative exhaust time.ERCP+LC group is better than LC+LCBDE group.Conclusion:1.LC+ LCBDE can shorten hospital stay and reduce postoperative complications for one-stage treatment of concomitant cholecystolithiasis and choledocholithiasis.2.LC+ LCBDE is an alternative when ERCP+LC failed to remove cholecystolithiasis and choledocholithiasis..