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

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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