The single-stage management of bile duct stones is underutilised: A prospective multicentre cohort study with a literature review.

ABSTRACT:

Backgrounds/aims

Bile duct stones (BDS) can be managed either prior to laparoscopic cholecystectomy (LC) using endoscopic retrograde cholangiopancreatography (ERCP) or with laparoscopic bile duct exploration (LBDE) at the time of LC. The latter is underutilised. The aim of this study was to use the dataset of the previously performed CholeS study to investigate LBDE hospital volumes, LBDE-to-LC rates, and LBDE outcomes.

Methods

Data from 166 United Kingdom/Republic of Ireland hospitals were used to study the utilisation of LBDE in LC patients.

Results

Of 8,820 LCs performed, 932 patients (10.6%) underwent preoperative ERCP and 256 patients (2.9%) underwent LBDE. Of the 256 patients who underwent LBDE, 73 patients (28.5%) had undergone prior ERCP and 112 patients (43.8

SUBMITTER: Tanase A 

PROVIDER: S-EPMC9721244 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature