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Single-Stage Endoscopic Stone Extraction and Cholecystectomy
during the Same Hospitalization
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Toshiaki Terauchi, Hiroharu Shinozaki, Satoshi Shinozaki, Yuichi Sasakura, Masaru Kimata, Junji Furukawa, Alan Kawarai Lefor, Yoshiro Ogata, Kenji Kobayashi
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Clin Endosc 2019;52(1):59-64. Published online October 5, 2018
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DOI: https://doi.org/10.5946/ce.2018.107
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Abstract
PDFPubReaderePub
- Background
/Aims: The clinical impact of single-stage endoscopic stone extraction by endoscopic retrograde cholangiopancreatography (ERCP) and cholecystectomy during the same hospitalization remains elusive. This study aimed to determine the efficacy and safety of single-stage ERCP and cholecystectomy during the same hospitalization in patients with cholangitis.
Methods We retrospectively reviewed the medical records of 166 patients who underwent ERCP for mild to moderate cholangitis due to choledocholithiasis secondary to cholecystolithiasis from 2012 to 2016.
Results Complete stone extraction was accomplished in 92% of patients (152/166) at the first ERCP. Among 152 patients who underwent complete stone extraction, cholecystectomy was scheduled for 119 patients (78%). Cholecystectomy was performed during the same hospitalization in 89% of patients (106/119). We compared two groups of patients: those who underwent cholecystectomy during the same hospitalization (n=106) and those who underwent cholecystectomy during a subsequent hospitalization (n=13). In the delayed group, cholecystectomy was performed about three months after the first ERCP. There were no significant differences between the groups in terms of operative time, rate of postoperative complications, and interval from cholecystectomy to discharge.
Conclusions Single-stage endoscopic stone extraction is recommended in patients with mild to moderate acute cholangitis due to choledocholithiasis. The combination of endoscopic stone extraction and cholecystectomy during the same hospitalization is safe and feasible.
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Citations
Citations to this article as recorded by
- RECURRENT BILIARY EVENTS IN PATIENTS, WHO UNDERWENT ENDOSCOPIC LITHOEXTRACTION DUE TO OBSTRUCTIVE JAUNDICE
S. V. Dolzhkovyi World of Medicine and Biology.2022; 18(79): 59. CrossRef - Destiny for Rendezvous: Is Cholecysto/Choledocholithiasis Better Treated with Dual- or Single-Step Procedures?
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Yuyan Shi, Jinghon Zhong, Jianbo Zhou, Qifeng Song, Zhaoqi Dong Evidence-Based Complementary and Alternative Medicine.2022; 2022: 1. CrossRef - Choledocholithiasis without cholecystolithiasis, after endoscopic retrograde cholangiopancreatography follow-up without cholecystectomy
Bahtiyar MUHAMMEDOĞLU, Eyüp PİRCANOĞLU, Serkan TORUN Konuralp Tıp Dergisi.2021; 13(1): 68. CrossRef - Comparison of the safety and efficacy of single-stage endoscopic retrograde cholangiopancreatography plus laparoscopic cholecystectomy versus two-stage ERCP followed by laparoscopic cholecystectomy six-to-eight weeks later: A randomized controlled trial
Bahtiyar Muhammedoğlu, Ilhami Taner Kale International Journal of Surgery.2020; 76: 37. CrossRef - Single-Stage Endoscopic Stone Extraction and Cholecystectomy during the Same Hospitalization: What is the Optimal Strategy for Patients with Choledocholithiasis and Cholelithiasis?
Tae Yoon Lee Clinical Endoscopy.2019; 52(1): 5. CrossRef
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