title: Comparison of laparoscopic common bile duct exploration and endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy for choledocholithiasis: a prospective randomized study.
abstract: BACKGROUND
  Endoscopic retrograde cholangiopancreatography and laparoscopic common bile duct exploration are safe and efficient methods that have recently been used for the treatment of bile duct stones. The aim of this study was to compare the efficacy, safety, and surgical outcomes of the laparoscopic common bile duct exploration plus laparoscopic cholecystectomy (LCBDE+LC) and endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy (ERCP+LC).
  
  
  METHODS
  One hundred twenty patients were prospectively randomized into 2 groups: LCBDE with LC in a single intervention and LC after ERCP.
  
  
  RESULTS
  The success rate of the LCBDE+LC group (96.5%) was found to be higher than for the ERCP+LC group (94.4%). Complication rates of the LCBDE+LC and ERCP+LC group were 7% and 11.1%, respectively. Complications requiring ERCP in the postoperative period after LCBDE+LC have been noted in 3.5% of cases.
  
  
  CONCLUSIONS
  Laparoscopic CBD exploration provides an alternative therapeutic approach that has less morbidity, is cost-effective, and allows earlier recovery with a reduced period of short-term disability.
authors.affiliation: Department of HPB Surgery, Okmeydani Training and Research Hospital, Darülaceze Cad. No: 25 Okmeydanı - Şişli/İstanbul 34384, Turkey.
authors.forename: Bora
authors.initials: B
authors.lastname: Koc
authors.forename: Servet
authors.initials: S
authors.lastname: Karahan
authors.forename: Gokhan
authors.initials: G
authors.lastname: Adas
authors.forename: Firat
authors.initials: F
authors.lastname: Tutal
authors.forename: Hakan
authors.initials: H
authors.lastname: Guven
authors.forename: Ayhan
authors.initials: A
authors.lastname: Ozsoy
mesh_terms: D000328:Adult; D000368:Aged; D002758:Cholangiography; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic; D042883:Choledocholithiasis; D003135:Common Bile Duct / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D055815:Young Adult
keywords: Bile duct stones; ERCP; Laparoscopic common bile duct exploration