A meta-analysis of single-stage versus two-stage management for concomitant gallstones and common bile duct stones

Comparison of open, laparo-endoscopic and one-stage laparoscopic approaches for treatment of gallbladder and common bile duct stones

“…[11] Another metanalysis revealed that compared to two-stage method, in one-stage laparoscopic method the stone clearance rate was higher, the lengths of hospital stay and operating times were shorter, but no significant difference between the two methods regarding complication and conversion to other procedures. [12] Our study also indicates that more total and severe complications, longer hospital stay have been observed in two-stage laparo-endoscopic method compared to onestage laparoscopic management.…”

Endoscopic Retrograde Cholangiopancreatography followed by Laparoscopic Cholecystectomy versus Laparacosopic Cholecystectomy and Common Bile Duct Exploration in Concomitant Gallstone and Common Bile Duct Stone

“…The occurrence of choledocholithiasis along with cholelithiasis is approximately 3-10%, while other literatures stated the frequency is varied between 8-20%. [1][2][3][4] There has been a number of different approaches in managing the concomitant gallstone and common bile duct, i.e single-step and two-stage therapy. Single-step strategy comprises of laparosopic cholecystectomy (LC) and laparoscopic common bile duct exploration (LCBDE).…”

“…5 The two-stage therapy is the more common therapy, as well as selected therapy accepted in many part of the world for the treatment of choledocholithiasis and cholecystolithiasis. 1,2 This is done to avoid the complexities of laparoscopy cholecystectomyand potential problems from T-tube drainage. 1 Preoperative ERCP is done to avoid the possibility of having to 'open' patients at LC, hence lower the possibilities of having further surgery if the LC is failed.…”

“…Single-step strategy comprises of laparosopic cholecystectomy (LC) and laparoscopic common bile duct exploration (LCBDE). 2 The two-stage therapy consists of LC and pre-or postoperative endoscopic retrograde cholangiopancreatography (ERCP). 1,2 The use of ERCP has been accepted as the treatment of choice before cholecystectomy in patient with concomitant gallstone and common bile duct stone.…”

“…2 The two-stage therapy consists of LC and pre-or postoperative endoscopic retrograde cholangiopancreatography (ERCP). 1,2 The use of ERCP has been accepted as the treatment of choice before cholecystectomy in patient with concomitant gallstone and common bile duct stone. 5 The technique was carried out as a day-care procedure, under intravenous sedation.…”