[A clinical comparison of two strategies for minimal invasive treatment of secondary common bile duct stone].
OBJECTIVE
To compare the clinical efficiency of two strategy in the treatment of secondary common bile duct stones: laparoscopic cholecystectomy with transcytotic common bile duct exploration (LC + LTCBDE), or laparoscopic cholecystectomy after endoscopic sphincterotomy (EST + LC).


METHODS
According to the screening standard, 88 patients with secondary bile duct stones (43 cases in LC + LTCBDE group, 45 cases in EST + LC group) who were treated from June 2005 to November 2007 were analyzed retrospectively. The achievement ratio, complications, average hospital stay and cost between two groups were compared. And all patients were followed up.


RESULTS
There were no significant differences on achievement ratio and complications between two groups (P > 0.05). The LC + LTCBDE group has significantly shorter hospital stay and lower cost (P < 0.05). There were no recurrence in 1 year.


CONCLUSIONS
LTCBDE is a promising strategy which has more advantages in the minimal invasive treatment of secondary common bile duct stones.
Han
Wei
W
Department of General Surgery, Beijing Friendship Hospital Affiliated to Capital University of Medical Science, Beijing 100050, China.
Jiang
Wei
W
Jin
Lan
L
Li
Jian-she
JS
Zhang
Zhong-tao
ZT
D000368:Aged; D017081:Cholecystectomy, Laparoscopic; D042883:Choledocholithiasis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D011379:Prognosis; D012189:Retrospective Studies; D016717:Sphincterotomy, Endoscopic; D016896:Treatment Outcome