Early cholangioscopy-assisted electrohydraulic lithotripsy in difficult biliary stones is cost-effective.

ABSTRACT:

Background and aims

Single-operator cholangioscopy-assisted electrohydraulic lithotripsy (SOC-EHL) is effective and safe in difficult choledocholithiasis. The optimal timing of SOC-EHL use, however, in refractory stones has not been elucidated. The following aims to determine the most cost-effective timing of SOC-EHL introduction in the management of choledocholithiasis.

Methods

A cost-effectiveness model was developed assessing three strategies with a progressively delayed introduction of SOC-EHL. Probability estimates of patient pathways were obtained from a systematic review. The unit of effectiveness is complete ductal clearance without need for surgery. Cost is expressed in 2018 US dollars and stem from outpatient US databases.

Results

The three strategies achiev

SUBMITTER: Alrajhi S 

PROVIDER: S-EPMC8600178 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature