Single-Session Treatment of Cholecysto-Choledocholithiasis: Totally Laparoscopic <i>versus</i> Laparo-Endoscopic

Mostafa Mohamoud Sayed; Ayman Kamal; Abdallah Mohamed Taha; Mahmoud Abdelhameid; Ahmed Mohamed Ali Abdallah; Zein Sayed

doi:doi:10.11648/j.js.20170505.11

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Single-Session Treatment of Cholecysto-Choledocholithiasis: Totally Laparoscopic versus Laparo-Endoscopic

Mostafa Mohamoud Sayed, Ayman Kamal, Abdallah Mohamed Taha, Mahmoud Abdelhameid, Ahmed Mohamed Ali Abdallah, Zein Sayed

Published in Journal of Surgery (Volume 5, Issue 5)

Received: 2 July 2017 Accepted: 11 July 2017 Published: 13 September 2017

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Abstract

Background: This study details Assiut and South Valley universities experience in treating combined gall bladder and common bile duct stones in a single session, either with Endoscopic Retrograde Cholangio-Pancreatography (ERCP) for Common Bile Duct (CBD) stone extraction followed by laparoscopic cholecystectomy (LC), or totally laparoscopic treatment. Patients and methods: In this prospective randomized study, 46 consecutive patients with confirmed cholecysto-choledocholithiasis were randomized to 2 groups. Group (A) included 24 patients treated with single-session ERCP for CBD stone extraction and laparoscopic cholecystectomy [ERCP-LC]. Group (B) included 22 patients treated with laparoscopic CBD exploration and laparoscopic cholecystectomy [LCBDE-LC]. Demographic data, operative time, CBD clearance success rate, short term complications and duration of hospital stay were recorded. Results: Patients included 28 females and 18 males with mean age of 42.1 ±‏ 12.1 years (range 17 – 71 years). In 22/24 patients (91.7%) ERCP-LC was done successfully. Mean operative time was 105 ± 19.1 minutes (50-150 min.). No intra-operative complications occurred. Early post-operative complications occurred in 3 patients (12.5%). Mean hospital stay was 2.1 ± 0. 91 days (1-6 days). In the other group, LCBDE-LC was performed successfully in 22/22 patients (100%). Mean operative time was 145 ± 23 minutes (100-180 min.). Minor intra-operative complications (bleeding) occurred in 2/22 cases (9%). Minor early post-operative complications (bile leak, ileus, bleeding) occurred in 4/22 patients (18%). Mean hospital stay was 2.8 ± 0.83 days (2-7 days). Conclusion: Single session ERCP-LC and LCBDE-LC procedures for management of cholecysto-choledocholithiasis are feasible, safe, and effective and have comparable outcome regarding success rate, peri-operative complications. ERCP-LC has statistically significant less operative time and less hospital stay.

Published in	Journal of Surgery (Volume 5, Issue 5)
DOI	10.11648/j.js.20170505.11
Page(s)	72-78
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Common Bile Duct Stones, Common Bile Duct Exploration, Endoscopic Retrograde Cholangio-Pancreatography, Endoscopic Sphincterotomy, Choledocholithiasis

References

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APA Style

Mostafa Mohamoud Sayed, Ayman Kamal, Abdallah Mohamed Taha, Mahmoud Abdelhameid, Ahmed Mohamed Ali Abdallah, et al. (2017). Single-Session Treatment of Cholecysto-Choledocholithiasis: Totally Laparoscopic versus Laparo-Endoscopic. Journal of Surgery, 5(5), 72-78. https://doi.org/10.11648/j.js.20170505.11

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ACS Style

Mostafa Mohamoud Sayed; Ayman Kamal; Abdallah Mohamed Taha; Mahmoud Abdelhameid; Ahmed Mohamed Ali Abdallah, et al. Single-Session Treatment of Cholecysto-Choledocholithiasis: Totally Laparoscopic versus Laparo-Endoscopic. J. Surg. 2017, 5(5), 72-78. doi: 10.11648/j.js.20170505.11

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AMA Style

Mostafa Mohamoud Sayed, Ayman Kamal, Abdallah Mohamed Taha, Mahmoud Abdelhameid, Ahmed Mohamed Ali Abdallah, et al. Single-Session Treatment of Cholecysto-Choledocholithiasis: Totally Laparoscopic versus Laparo-Endoscopic. J Surg. 2017;5(5):72-78. doi: 10.11648/j.js.20170505.11

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@article{10.11648/j.js.20170505.11,
  author = {Mostafa Mohamoud Sayed and Ayman Kamal and Abdallah Mohamed Taha and Mahmoud Abdelhameid and Ahmed Mohamed Ali Abdallah and Zein Sayed},
  title = {Single-Session Treatment of Cholecysto-Choledocholithiasis: Totally Laparoscopic versus Laparo-Endoscopic},
  journal = {Journal of Surgery},
  volume = {5},
  number = {5},
  pages = {72-78},
  doi = {10.11648/j.js.20170505.11},
  url = {https://doi.org/10.11648/j.js.20170505.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20170505.11},
  abstract = {Background: This study details Assiut and South Valley universities experience in treating combined gall bladder and common bile duct stones in a single session, either with Endoscopic Retrograde Cholangio-Pancreatography (ERCP) for Common Bile Duct (CBD) stone extraction followed by laparoscopic cholecystectomy (LC), or totally laparoscopic treatment. Patients and methods: In this prospective randomized study, 46 consecutive patients with confirmed cholecysto-choledocholithiasis were randomized to 2 groups. Group (A) included 24 patients treated with single-session ERCP for CBD stone extraction and laparoscopic cholecystectomy [ERCP-LC]. Group (B) included 22 patients treated with laparoscopic CBD exploration and laparoscopic cholecystectomy [LCBDE-LC]. Demographic data, operative time, CBD clearance success rate, short term complications and duration of hospital stay were recorded. Results: Patients included 28 females and 18 males with mean age of 42.1 ±‏ 12.1 years (range 17 – 71 years). In 22/24 patients (91.7%) ERCP-LC was done successfully. Mean operative time was 105 ± 19.1 minutes (50-150 min.). No intra-operative complications occurred. Early post-operative complications occurred in 3 patients (12.5%). Mean hospital stay was 2.1 ± 0. 91 days (1-6 days). In the other group, LCBDE-LC was performed successfully in 22/22 patients (100%). Mean operative time was 145 ± 23 minutes (100-180 min.). Minor intra-operative complications (bleeding) occurred in 2/22 cases (9%). Minor early post-operative complications (bile leak, ileus, bleeding) occurred in 4/22 patients (18%). Mean hospital stay was 2.8 ± 0.83 days (2-7 days). Conclusion: Single session ERCP-LC and LCBDE-LC procedures for management of cholecysto-choledocholithiasis are feasible, safe, and effective and have comparable outcome regarding success rate, peri-operative complications. ERCP-LC has statistically significant less operative time and less hospital stay.},
 year = {2017}
}

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TY - JOUR
T1 - Single-Session Treatment of Cholecysto-Choledocholithiasis: Totally Laparoscopic versus Laparo-Endoscopic
AU - Mostafa Mohamoud Sayed
AU - Ayman Kamal
AU - Abdallah Mohamed Taha
AU - Mahmoud Abdelhameid
AU - Ahmed Mohamed Ali Abdallah
AU - Zein Sayed
Y1 - 2017/09/13
PY - 2017
N1 - https://doi.org/10.11648/j.js.20170505.11
DO - 10.11648/j.js.20170505.11
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 72
EP - 78
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20170505.11
AB - Background: This study details Assiut and South Valley universities experience in treating combined gall bladder and common bile duct stones in a single session, either with Endoscopic Retrograde Cholangio-Pancreatography (ERCP) for Common Bile Duct (CBD) stone extraction followed by laparoscopic cholecystectomy (LC), or totally laparoscopic treatment. Patients and methods: In this prospective randomized study, 46 consecutive patients with confirmed cholecysto-choledocholithiasis were randomized to 2 groups. Group (A) included 24 patients treated with single-session ERCP for CBD stone extraction and laparoscopic cholecystectomy [ERCP-LC]. Group (B) included 22 patients treated with laparoscopic CBD exploration and laparoscopic cholecystectomy [LCBDE-LC]. Demographic data, operative time, CBD clearance success rate, short term complications and duration of hospital stay were recorded. Results: Patients included 28 females and 18 males with mean age of 42.1 ±‏ 12.1 years (range 17 – 71 years). In 22/24 patients (91.7%) ERCP-LC was done successfully. Mean operative time was 105 ± 19.1 minutes (50-150 min.). No intra-operative complications occurred. Early post-operative complications occurred in 3 patients (12.5%). Mean hospital stay was 2.1 ± 0. 91 days (1-6 days). In the other group, LCBDE-LC was performed successfully in 22/22 patients (100%). Mean operative time was 145 ± 23 minutes (100-180 min.). Minor intra-operative complications (bleeding) occurred in 2/22 cases (9%). Minor early post-operative complications (bile leak, ileus, bleeding) occurred in 4/22 patients (18%). Mean hospital stay was 2.8 ± 0.83 days (2-7 days). Conclusion: Single session ERCP-LC and LCBDE-LC procedures for management of cholecysto-choledocholithiasis are feasible, safe, and effective and have comparable outcome regarding success rate, peri-operative complications. ERCP-LC has statistically significant less operative time and less hospital stay.
VL - 5
IS - 5
ER -

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Author Information

Mostafa Mohamoud Sayed

General Surgery Department, Faculty of Medicine, Assuit University, Assiut, Egypt
Ayman Kamal

General Surgery Department, Faculty of Medicine, Assuit University, Assiut, Egypt
Abdallah Mohamed Taha

General Surgery Department, Faculty of Medicine, South Valley University, Qena, Egypt
Mahmoud Abdelhameid

General Surgery Department, Faculty of Medicine, South Valley University, Qena, Egypt
Ahmed Mohamed Ali Abdallah

General Surgery Department, Faculty of Medicine, Assuit University, Assiut, Egypt
Zein Sayed

Internal Medicine Department, Faculty of Medicine, Assuit University, Assiut, Egypt

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APA Style

Mostafa Mohamoud Sayed, Ayman Kamal, Abdallah Mohamed Taha, Mahmoud Abdelhameid, Ahmed Mohamed Ali Abdallah, et al. (2017). Single-Session Treatment of Cholecysto-Choledocholithiasis: Totally Laparoscopic versus Laparo-Endoscopic. Journal of Surgery, 5(5), 72-78. https://doi.org/10.11648/j.js.20170505.11

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ACS Style

Mostafa Mohamoud Sayed; Ayman Kamal; Abdallah Mohamed Taha; Mahmoud Abdelhameid; Ahmed Mohamed Ali Abdallah, et al. Single-Session Treatment of Cholecysto-Choledocholithiasis: Totally Laparoscopic versus Laparo-Endoscopic. J. Surg. 2017, 5(5), 72-78. doi: 10.11648/j.js.20170505.11

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AMA Style

Mostafa Mohamoud Sayed, Ayman Kamal, Abdallah Mohamed Taha, Mahmoud Abdelhameid, Ahmed Mohamed Ali Abdallah, et al. Single-Session Treatment of Cholecysto-Choledocholithiasis: Totally Laparoscopic versus Laparo-Endoscopic. J Surg. 2017;5(5):72-78. doi: 10.11648/j.js.20170505.11

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@article{10.11648/j.js.20170505.11,
  author = {Mostafa Mohamoud Sayed and Ayman Kamal and Abdallah Mohamed Taha and Mahmoud Abdelhameid and Ahmed Mohamed Ali Abdallah and Zein Sayed},
  title = {Single-Session Treatment of Cholecysto-Choledocholithiasis: Totally Laparoscopic versus Laparo-Endoscopic},
  journal = {Journal of Surgery},
  volume = {5},
  number = {5},
  pages = {72-78},
  doi = {10.11648/j.js.20170505.11},
  url = {https://doi.org/10.11648/j.js.20170505.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20170505.11},
  abstract = {Background: This study details Assiut and South Valley universities experience in treating combined gall bladder and common bile duct stones in a single session, either with Endoscopic Retrograde Cholangio-Pancreatography (ERCP) for Common Bile Duct (CBD) stone extraction followed by laparoscopic cholecystectomy (LC), or totally laparoscopic treatment. Patients and methods: In this prospective randomized study, 46 consecutive patients with confirmed cholecysto-choledocholithiasis were randomized to 2 groups. Group (A) included 24 patients treated with single-session ERCP for CBD stone extraction and laparoscopic cholecystectomy [ERCP-LC]. Group (B) included 22 patients treated with laparoscopic CBD exploration and laparoscopic cholecystectomy [LCBDE-LC]. Demographic data, operative time, CBD clearance success rate, short term complications and duration of hospital stay were recorded. Results: Patients included 28 females and 18 males with mean age of 42.1 ±‏ 12.1 years (range 17 – 71 years). In 22/24 patients (91.7%) ERCP-LC was done successfully. Mean operative time was 105 ± 19.1 minutes (50-150 min.). No intra-operative complications occurred. Early post-operative complications occurred in 3 patients (12.5%). Mean hospital stay was 2.1 ± 0. 91 days (1-6 days). In the other group, LCBDE-LC was performed successfully in 22/22 patients (100%). Mean operative time was 145 ± 23 minutes (100-180 min.). Minor intra-operative complications (bleeding) occurred in 2/22 cases (9%). Minor early post-operative complications (bile leak, ileus, bleeding) occurred in 4/22 patients (18%). Mean hospital stay was 2.8 ± 0.83 days (2-7 days). Conclusion: Single session ERCP-LC and LCBDE-LC procedures for management of cholecysto-choledocholithiasis are feasible, safe, and effective and have comparable outcome regarding success rate, peri-operative complications. ERCP-LC has statistically significant less operative time and less hospital stay.},
 year = {2017}
}

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