ArticleSurgical endoscopy2026
Laparoscopic transcystic stenting with postoperative ERCP for the treatment of common bile duct stones: a safe alternative to intraoperative rendezvous ERCP-Data from the Swedish registry for gallstone surgery and ERCP (GallRiks).
Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07640204 (Complication Rates Associated With Access or Not to Endoscopic Retrograde Cholangiopancreatography), which is not on this map. Not yet cited in PubMed.
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Complication Rates Associated With Access or Not to Endoscopic Retrograde Cholangiopancreatography (ERCP) in Units Performing Cholecystectomy, When Common Bile Duct Stones Are Detected on Intraoperative Cholangiography
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6 authors.
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Abstract
backgroundCommon bile duct stones (CBDS) are a common finding during laparoscopic cholecystectomy, yet the optimal treatment strategy remains under debate. In Sweden, CBDS are usually managed by intraoperative endoscopic retrograde cholangiopancreatography using the rendezvous technique (RV-ERCP). An alternative treatment approach is laparoscopic transcystic placement of an endobiliary stent with postoperative ERCP (TCStent-ERCP). The aim of this study was to compare these two treatment strategies in terms of complication rates.
methodData were extracted from the Swedish Registry for Gallstone surgery and ERCP (GallRiks) from three different hospitals between 2010 and 2023. All cholecystectomies in which CBDS were detected intraoperatively and ERCP was carried out, either during the same session or later, were collected. Procedures involving TCStent-ERCP or RV-ERCP were identified. Complications within 30 days related to the cholecystectomy as well as to the ERCP were compared between the two groups.
resultsIn total, 929 patients were included. The overall complication rates were 21/183 (11%) in the TCStent-ERCP group and 140/746 (19%) in the RV-ERCP group. In adjusted multivariable regression analysis, fewer overall complications were found using the TCStent-ERCP strategy compared with RV-ERCP (OR 0.60, 95% CI 0.35-0.97). However, no statistically significant differences were observed between the groups for surgical complications or post-procedural pancreatitis.
conclusionTranscystic stenting with postoperative ERCP appears to be a safe alternative to intraoperative rendezvous ERCP for the management of CBDS encountered during intraoperative cholangiography. This might be beneficial in surgical units where resources required for unplanned ERCP are limited or lacking.
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