Article Data

  • Views 367
  • Dowloads 125

Original Research

Open Access

Investigating the efficacy of endoscopic retrograde cholangiopancreatography combined with laparoscopic cholecystectomy in treating male choledocholithiasis

  • Yanzhi Han1
  • Xiaoling Chen2
  • Hao Liu3
  • Minzhao Gao1
  • Wang Zhao1
  • Xiaofeng Li1,*,

1Department of Gastroenterology, The Fifth Affiliated Hospital Sun Yat-sen University, 519000 Zhuhai, Guangdong, China

2Health Management Center, The Fifth Affiliated Hospital Sun Yat-sen University, 519000 Zhuhai, Guangdong, China

3Department of Gastroenterology, First Affiliated Hospital, school of medicine, Shihezi University, 832000 Shihezi, Xinjiang Uygur Autonomous Region, China

DOI: 10.22514/jomh.2024.092 Vol.20,Issue 6,June 2024 pp.64-69

Submitted: 25 March 2024 Accepted: 13 May 2024

Published: 30 June 2024

*Corresponding Author(s): Xiaofeng Li E-mail: lixiaofeng@mail.sysu.edu.cn

Abstract

This study aimed to assess the efficacy of endoscopic retrograde cholangiopancre-atography (ERCP) combined with laparoscopic cholecystectomy in the management of male choledocholithiasis. A retrospective analysis was performed on the clinical data of 100 male patients diagnosed with choledocholithiasis and treated at our hospital between May 2020 and May 2022. The patients were categorized into either an experimental group (n = 50) or a control group (n = 50) based on their respective treatment modalities. The control group underwent laparoscopic cholecystectomy coupled with exploration and stone extraction from the common bile duct, while the experimental group underwent ERCP in conjunction with laparoscopic cholecystectomy. The results showed that the efficacy of these treatment approaches was compared in terms of their impact on choledocholithiasis. The stone clearance rate was significantly higher in the experimental group compared to the control group (p < 0.05), with no significant difference observed in the six-month recurrence rate (p > 0.05). However, the one-year recurrence rate was significantly lower in the experimental group (p < 0.05). Furthermore, the experimental group experienced reduced intraoperative bleeding, shorter hospital stays, and decreased operative duration compared to the control group (p < 0.05). Time to resume oral intake, passage of flatus, recovery of bowel sounds, and mobilization were all significantly shorter for the experimental group (p < 0.05). Notably, there was no significant difference in the incidence of postoperative complications between the two groups (p > 0.05). ERCP combined with laparoscopic cholecystectomy demonstrates efficacy in reducing postoperative stone recurrence, diminishing complications and patient trauma, alleviating pain, and facilitating continuous patient recovery following treatment for choledocholithiasis.


Keywords

Endoscopic retrograde cholangiopancreatography; Choledocholithiasis; Laparoscopic cholecystectomy


Cite and Share

Yanzhi Han,Xiaoling Chen,Hao Liu,Minzhao Gao,Wang Zhao,Xiaofeng Li. Investigating the efficacy of endoscopic retrograde cholangiopancreatography combined with laparoscopic cholecystectomy in treating male choledocholithiasis. Journal of Men's Health. 2024. 20(6);64-69.

References

[1] Liu F, Wang ZK, Li MY, Zhang XL, Cai FC, Wang XD, et al. Characterization of biliary and duodenal microbiota in patients with primary and recurrent choledocholithiasis. Health Information Science and Systems. 2024; 12: 29.

[2] Li S, Guizzetti L, Ma C, Shaheen AA, Dixon E, Ball C, et al. Epidemiology and outcomes of choledocholithiasis and cholangitis in the United States: trends and urban-rural variations. BMC Gastroenterology. 2023; 23: 254.

[3] Xiao M, Zhou Y, Wang Z, Dai W, Wang D, Wan Z, et al. The dysregulation of biliary tract microflora is closely related to primary choledocholithiasis: a multicenter study. Scientific Reports. 2024; 14: 9004.

[4] Ooi JS, Ikhwan SM, Azem Fathi MA, Leow VM, Syed Hassan AZ. Endoscopic sphincterotomy with balloon dilatation versus sphincterotomy alone for common bile duct stones removal: a randomised controlled trial. The Medical Journal of Malaysia. 2024; 79: 133–140.

[5] McNamee MM, Stolz MP, Harvell RT, Staley CA, Green EE, Othman HD, et al. Management of choledocholithiasis in a community hospital: laparoscopic common bile duct exploration versus endoscopic retrograde cholangiopancreatography. To be published in The American Surgeon. 2024. [Preprint].

[6] Fugazzola P, Bianchi CM, Calabretto F, Cicuttin E, Dal Mas F, Dominioni T, et al. Intraoperative transcystic laparoscopic common bile duct stone clearance with SpyGlass™ discover during emergency and elective cholecystectomy: a single-center case series. World Journal of Emergency Surgery. 2024; 19: 8.

[7] Ma Z, Zhou J, Yao L, Dai Y, Xie W, Song G, et al. Safety and efficacy of laparoscopic common bile duct exploration for the patients with difficult biliary stones: 8 years of experiences at a single institution and literature review. Surgical Endoscopy. 2021; 36: 718–727.

[8] Sarma S, Agarwal N, Das B. A comparison study of choledocholithotomy with T-tube drainage and choledochoduodenostomy for surgically managing choledocholithiasis. International Journal of Scientific Research in Dental and Medical Sciences. 2024; 6: 7–10.

[9] Shamousi A K, Maimani A M. Prevalence and risk factors of choledocholithiasis in Omani patients with sickle cell disease undergoing endoscopic retrograde cholangiopancreatography: a retrospective analysis. Cureus. 2023; 15: e51133.

[10] Tu QY, Li DL, Liu D, Zheng QF, Liu BR. Choledocholithotripsy using peroral direct cholangioscopy through a standard gastroscope for a giant common bile duct stone: a case report. Gastroenterology Report. 2024; 30: goae014.

[11] Koizumi K, Kimura K, Jinushi R, Sato R, Masuda S. Management of choledocholithiasis with an ultraslim cholangioscope in a patient with possible anaphylaxis to contrast medium. Endoscopy. 2024; 56: E223–E224.

[12] Sun K, Li M, Shi Y, He H, Li Y, Sun L, et al. Convolutional neural network for identifying common bile duct stones based on magnetic resonance cholangiopancreatography. To be published in Clinical Radiology. 2024. [Preprint].

[13] Rajah HK. Current management of choledocholithiasis—narrative review article. Asian Journal of Medicine and Health. 2024; 22: 32–40.

[14] Wu PH, Yu MW, Chuang SC, Wang SN, Kuo KK, Chang WT, et al. Comparison of laparoscopic common bile duct exploration plus cholecystectomy and endoscopic retrograde cholangiopancreatography followed by laparoscopic cholecystectomy for elderly patients with common bile duct stones and gallbladder stones. Journal of Gastrointestinal Surgery. 2024; 28: 719–724.

[15] Manivasagam SS, Chandra J N, Shah S, Kuraria V, Manocha P. Single-stage laparoscopic common bile duct exploration and cholecystectomy versus two-stage endoscopic stone extraction followed by laparoscopic cholecystectomy for patients with cholelithiasis and choledocholithiasis: a systematic review. Cureus. 2024; 16: e54685.

[16] Sun W, Li J, Fang J, Duan Q, He A, Lin C. Comparison of efficacy of ERCP+LC and LC+LCBDE on cholecysto-choledocholithiasis and analysis of risk factors for recurrence of choledocholithiasis. To be published in Alternative Therapies in Health and Medicine. 2023. [Preprint].

[17] Takeshi U, Tetsuya T, Yuki K, Chisato H, Atsushi Y. Laparoscopic cholecystectomy and common bile duct exploration for gallstone and common bile duct stone in a patient with a left-sided gallbladder: a case report. Journal of Minimally Invasive Surgery. 2023; 26: 218–221.

[18] Lu J, Fan Z. ERCP endoscopic minimally invasive treatment of acute suppurative obstructive cholangitis: a study of 47 patients. Experimental and therapeutic medicine. 2024; 27: 128.

[19] Erratum: rendezvous procedure, a simultaneous endoscopic retrograde cholangiopancreatography and laparoscopic cholecystectomy for choledocholithiasis, in a rural surgical program in Northwest Ontario. Canadian Journal of Rural Medicine. 2024; 29: 41.

[20] Mehdi Y, Abdolreza E, Javad SS, Hassan AVS, Mohamadtaghi H, Hemmat GA. Efficacy and safety of endoscopic sphincterotomy with balloon dilation versus endoscopic sphincterotomy alone for extraction of common bile duct stones with a maximum diameter of 10 to 15 millimeters. Caspian Journal of Internal Medicine. 2023; 14: 226–230.

[21] Li T, Hao LX, Lv C, Li XJ, Ji XD, Chen M, et al. Long-term outcomes of endoscopic papillary large-balloon dilation (12–15 mm) with or without limited sphincterotomy for removal of bile duct stones. Hepatobiliary & Pancreatic Diseases International. 2022; 22: 392–398.

[22] Lan WF, Li JH, Wang QB, Zhan XP, Yang WL, Wang LT, et al. Comparison of laparoscopic common bile duct exploration and endoscopic retrograde cholangiopancreatography combined with laparoscopic cholecystectomy for patients with gallbladder and common bile duct stones a meta-analysis of randomized controlled trials. European Review for Medical and Pharmacological Sciences. 2023; 27: 4656–4669.

[23] Qian M, Wang J, Sun S, Song Z, Yang S, Wu Y, et al. Efficacy and safety of endoscopic retrograde cholangiopancreatography in children of pancreaticobiliary maljunction without obvious biliary dilatation. Journal of Pediatric Surgery. 2024; 59: 653–659.


Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Directory of Open Access Journals (DOAJ) DOAJ is a unique and extensive index of diverse open access journals from around the world, driven by a growing community, committed to ensuring quality content is freely available online for everyone.

SCImago The SCImago Journal & Country Rank is a publicly available portal that includes the journals and country scientific indicators developed from the information contained in the Scopus® database (Elsevier B.V.)

Publication Forum - JUFO (Federation of Finnish Learned Societies) Publication Forum is a classification of publication channels created by the Finnish scientific community to support the quality assessment of academic research.

Scopus: CiteScore 0.9 (2023) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Norwegian Register for Scientific Journals, Series and Publishers Search for publication channels (journals, series and publishers) in the Norwegian Register for Scientific Journals, Series and Publishers to see if they are considered as scientific. (https://kanalregister.hkdir.no/publiseringskanaler/Forside).

Submission Turnaround Time

Conferences

Top