关键词: 腹腔镜, 胆囊结石同时合并胆总管结石, 胆道镜, ERCP

Abstract: 【Abstract】 Objective〓To evaluate the efficacy,.safety of combined endoscopic-laparoscopic method for single-stage and two-stage treatment method for patients with gallbladder and CBD stones. Methods〓One hundred and four eligible patients were divided into 2 groups, single-stage laparoscopic common bile duct exploration plus laparoscopic cholecystectomy.(LCBDE+LC,n=55).or two-stage endoscopic retrograde cholangiopancreatography sphincterotomy plus laparoscopic cholecystectomy (ERCP/S+LC group,n=49). The surgical successful rate, postoperative complications and postoperative length of hospital stay were assessed. Results〓The two group were matched with regard to demographic and clinical parameters..Both LCBDE+LC and ERCP/S+LC had similar success rates.(90.0% vs 95.9%, P=0.309). However, the cases in the ERCP/S+LC group had higher rate of stone clearance(93.6% vs 80.0%,.P=0.046)..The two groups did not differ significantly in terms of postoperative complications..In addition,.no significant difference was observed in terms of postoperative hospital stay and overall cost. We observed the 6.0% (3/50) and 6.3% (3/48) cases in LCBDE+LC and ERCP/S+LC group with recurrent stone in the CBD during the postoperative follow-up period,.which had no statistical significance..Conclusion〓Single-and two-stage management for concomitant gallbladder and CBD stones had similar success rate,.postoperative complication incidence and long-term recurrence ration,.but ERCP/S+LC group had higher stone clearance rate..Hence ERCP/S+LC should be an optimal therapeutic approach for concomitant gallbladder and CBD stones.

Key words: Choledochoscope , Concomitant gallbladder and common bile duct stones, Laparoscopic, ERCP