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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:


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.


Endoscopic retrograde cholangiopancreatography; Choledocholithiasis; Laparoscopic cholecystectomy

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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.


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