Brief Article
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World J Gastroenterol. Sep 28, 2013; 19(36): 6093-6097
Published online Sep 28, 2013. doi: 10.3748/wjg.v19.i36.6093
Endoscopic retrograde cholangiopancreatography and laparoscopic cholecystectomy during the same session: Feasibility and safety
Jin-Feng Zang, Chi Zhang, Jun-Ye Gao
Jin-Feng Zang, Chi Zhang, Jun-Ye Gao, Department of Hepatobiliary Surgery, Taizhou People’s Hospital, the Fifth Affiliated Hospital of Medical School of Nantong University, Taizhou 225300, Jiangsu Province, China
Author contributions: Zang JF designed research, performed all major endoscopic and laparoscopic procedures and wrote the paper; Zhang C and Gao JY collected and filled up the data.
Correspondence to: Dr. Jin-Feng Zang, Department of Hepatobiliary Surgery, Taizhou People’s Hospital, the Fifth Affiliated Hospital of Medical School of Nantong University, No. 210 East Yingchun Road, Taizhou 225300, Jiangsu Province, China. xkfy1979@126.com
Telephone: +86-523-86361478 Fax: +86-523-86225199
Received: June 15, 2013
Revised: July 24, 2013
Accepted: August 5, 2013
Published online: September 28, 2013
Processing time: 102 Days and 20 Hours
Abstract

AIM: To explore the feasibility and safety of endoscopic retrograde cholangiopancreatography and laparoscopic cholecystectomy (LC) performed during the same session.

METHODS: Between July 2010 and May 2013, 156 patients with gallstones and common bile duct (CBD) stones were enrolled in this retrospective study. According to the sequence of endoscopic procedures and LC, patients were classified into two groups: in group 1, patients underwent endoscopic stone extraction and LC during the same session, and in group 2, patients underwent LC at least 3 d after endoscopic stone extraction. Outcomes of the endoscopic procedures and LC were compared between the two groups, respectively.

RESULTS: There were 91 patients in group 1 and 65 patients in group 2. The characteristics of the two groups were similar. The mean duration of the endoscopic procedures was 34.9 min in group 1 and 35.3 min in group 2. There were no significant differences in the success rate of the endoscopic procedures (97.8% for group 1 vs 98.5% for group 2), the total rate of endoscopic complications (4.40% for group 1 vs 4.62% for group 2) and CBD stone clearance rate (96.7% for group 1 vs 96.9% for group 2). Duration of LC was 53.6 min in group 1 and 52.8 min in group 2. There were no significant differences in the overall LC-related morbidity and postoperative hospital stay.

CONCLUSION: Endoscopic stone extraction and LC performed during the same session was feasible and safe in patients with gallstones and concomitant CBD stones.

Keywords: Cholecystectomy; Laparoscopic; Endoscopic; Therapy

Core tip: There is still controversy regarding the optimal therapeutic algorithm for patients with gallstones and concomitant common bile duct stones. Endoscopic retrograde cholangiopancreatography combined with laparoscopic cholecystectomy is an alternative technique. This study originated from a surgical team adept in the techniques of laparoscopy, duodenoscopy and choledochoscopy. The sample size in this study was larger than most current studies. We are confident that the outcomes from this study are more objective and helpful to the surgeons who manage gallstones and common bile duct stones during the same session.