Abstract:
Aim: Complicated bile duct stones with choledocholithiasis may cause serious morbidity and mortality. The aim of this study was
to evaluate; cost, frequency of the imaging methods used and the length of the hospital stay after the one-stage and two-stage
procedures.
Material and Methods: Endoscopic Retrograde Cholangio Pancreatography (ERCP) and Laparoscopic Cholecystectomy (LC) was
performed in 16 out of 250 LC cases and was named as Group A; other 12 patients have had interval LC 6-8 weeks after the ERCP
procedure and were named as Group B. All ERCP and LC were performed by the same surgeon.
Results: The duration of hospitalization in Group A was 6 [4-9.5] days and was statistically significantly longer in the group B
patients which was 8.5 [9.5-10.5] days (p <0.0470). The frequency of the use of the imaging methods was 3 [2-4.5] in Group A and 6
[4.5-7.0] in B (p <0.001). The cost of the procedures were significantly lower in the Group A compared to B (p <0.047) and was 2411.3
[1855.6-2819.9] and 2839.9 [2495.5-3237.1] Turkish Lira (TL) respectively.
Conclusion: Simultaneous ERCP and LC are safe and a feasible in selected cases and advantageous in terms of the total cost and the
length of the hospital stay. There is need for more studies to clarify the timing of the surgical treatment after the ERCP.
