ArticleWorld journal of gastroenterology2003
Management of choledocholithiasis: comparison between laparoscopic common bile duct exploration and intraoperative endoscopic sphincterotomy.
Article in World journal of gastroenterology, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Minimally invasive surgical strategies for gallbladder stones with concomitant common bile duct stones: a systematic review and network meta-analysis.BMC surgery · 2026Pooled it
- Pooled it
- Pooled it
- Preoperative versus intraoperative endoscopic sphincterotomy in patients with gallbladder and suspected common bile duct stones: system review and meta-analysis.Surgical endoscopy · 2013Pooled it
- Comparison of laparoscopic cholecystectomy combined with intraoperative endoscopic sphincterotomy and laparoscopic exploration of the common bile duct for cholecystocholedocholithiasis.Surgical endoscopy · 2006Trial
- Health economic evaluations of medical devices in the People's Republic of China: A systematic literature review.ClinicoEconomics and outcomes research : CEOR · 2015Article
- Modern approach to cholecysto-choledocholithiasis.World journal of gastrointestinal endoscopy · 2014Review
- Endoscopic retrograde cholangiopancreatography with rendezvous cannulation reduces pancreatic injury.World journal of gastroenterology · 2013Article
- A 10-year study of rendezvous intraoperative endoscopic retrograde cholangiography during cholecystectomy and the risk of post-ERCP pancreatitis.Surgical endoscopy · 2013Article
- Routine use of simultaneous laparoendoscopic approach in patients with confirmed gallbladder and bile duct stones: fit for laparoscopy fit for "rendezvous".World journal of surgery · 2013Article
- Simultaneous laparoendoscopic rendezvous for the treatment of cholecystocholedocholithiasis.Surgical endoscopy · 2009Review
- Stone clearance and risk factors for failure in laparoscopic transcystic exploration of the common bile duct.Surgical endoscopy · 2008Article
- Management of common bile duct stones.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2006Review
- Management of common bile duct stones in a rural area of the United States: results of a survey.Surgical endoscopy · 2006Article
- Biliary drainage after laparoscopic choledochotomy.World journal of gastroenterology · 2004Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimCholedocholithiasis is present in 5 to 10 percent of patients who have cholelithiasis. In the area of laparoscopic cholecystectomy (LC), laparoscopic common bile duct exploration (LCBDE) and intraoperative endoscopic sphincterotomy (IOES) have been used to treat choledocholithiasis. The purpose of this study was to compare the clinical outcomes and hospital costs of LCBDE with IOES.
methodsBetween November 1999 and October 2002, patients with choledocholithiasis undergoing LC plus LCBDE (Group A, n=45) were retrospectively compared to those undergoing LC plus IOES (Group B, n=57) at a single institution.
resultsDuctal stone clearance rates were equivalent for the two groups (88% versus 89%, P=0.436). The conversion rate was higher for Group B (8.8% versus 4.4%, P=0.381), as was the morbidity (12.3% versus 6.7%, P=0.336). There were no other significant differences between the two groups. The complications were mainly related to endoscopic sphincterotomy (ES), and the hospital costs were significantly increased in this subset of Group B (median, 23,910 versus 14,955 RMB yuan, P=0.03). Although hospital stay was longer in Group A (median, 7 versus 6 days, P=0.041), the patients in Group A had a significantly decreased cost of hospitalization compared with those in Group B (median, 11,362 versus 15,466 RMB yuan, P=0.000).
conclusionThe results demonstrate equivalent ductal stone clearance rates for the two groups. LCBDE management appears safer, and is associated with a significantly decreased hospital cost. The findings suggest LCBDE for choledocholithiasis is a better option.
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