SINGLE-STEP LAPAROSCOPIC CHOLECYSTECTOMY AND ERCP IN THE MANAGEMENT OF CHOLEDOCHOLITHIASIS: A SAFE AND EFFECTIVE APPROACH
Main Article Content
Keywords
Choledocholithiasis, Laparoscopic Cholecystectomy, ERCP, Single-Step Procedure, Minimally Invasive Surgery
Abstract
To evaluate the safety, efficacy, and outcomes of the single-step approach combining laparoscopic cholecystectomy (LC) and endoscopic retrograde cholangiopancreatography (ERCP) in the management of choledocholithiasis.
Methods:
This is a prospective observational study that was undertaken at the Hameed Latif Hospital between the years 2020 and 2024. One hundred patients diagnosed with choledocholithiasis with the help of magnetic resonance cholangiopancreatography (MRCP) went through a single-session of LC and ERCP. Among the data that were gathered were operative time, complications, hospital stay, and time of returning to work.
Results:
No conversions to open surgery, wound infections, bile leaks, or pancreatitis were observed. Operating time was 2 hours in 70 patients, 4 hours in 13, 3 hours in 10, and 1 hour in 7. The average hospital stay was 2–3 days, and all patients resumed normal activities within 5–7 days.
Conclusion:
The single-step approach is a safe and efficient treatment option for choledocholithiasis, yielding excellent clinical outcomes and rapid recovery.
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