Laparoscopic and Seldinger techniques for the treatment of concomitant gallstones and choledocholithiasis. A retrospective study

Técnicas laparoscópica y de Seldinger para el tratamiento de cálculos biliares y coledocolitiasis concomitantes. Un estudio retrospectivo.

• Ruijin Song People’s Hospital of Pengzhou, Chengdu, China. https://orcid.org/0000-0002-1111-9360
• Li Feng People’s Hospital of Pengzhou, Chengdu, China. https://orcid.org/0000-0002-9233-4088
• Xiang Li Guangdong Tongjiang Hospital, Guangzhou, China. https://orcid.org/0000-0001-7378-1846
• Xueyi Liu Guangdong Tongjiang Hospital, Guangzhou, China. https://orcid.org/0000-0002-7167-0234
• Bo Yang People’s Hospital of Pengzhou, Chengdu, China. https://orcid.org/0000-0002-4625-4706
• Ming Gong People’s Hospital of Pengzhou, Chengdu, China. https://orcid.org/0000-0002-2064-3623
• Tie Qiao Second People’s Hospital of Panyu Guangzhou, Guangzhou, China. https://orcid.org/0000-0002-1294-0759

DOI: https://doi.org/10.54817/IC.v64n2a03

Keywords: minimally invasive cholelithotomy, cholelithiasis and choledocholithiasis, postoperative recovery

Abstract

This study aimed to determine the efficacy and safety of a minimally invasive combined approach for concomitant stone clearance of cholelithiasis and choledocholithiasis. From November 2018 to March 2021, 30 patients were enrolled in this retrospective study that compared two methods of treating combined cholelithiasis and choledocholithiasis. The study comprised two groups: 15 patients in Group A underwent combined laparoscopic and Seldinger techniques for complete stone clearance, retaining the gall bladder in situ. In Group B, 15 patients underwent laparoscopic cholecystectomy and choledocholithotomy with T-tube drainage. The rates of successful completion of the operations, procedure-related complications, length of hospitalization, hospital cost, and patient satisfaction were compared between the two groups. The two groups had no differences in general patient characteristics, and all procedures were successfully completed. Compared to Group B, patients in Group A had a shorter operative time (84 vs. 105 min), less blood loss (10 vs. 28 mL), were less expensive, and had a shorter postoperative recovery. A single patient in group B developed bile leakage. The satisfaction rate was 93% in Group A, in contrast to 80% in Group B. The combined use of laparoscopic and Seldinger techniques to achieve complete stone removal in patients with concomitant cholelithiasis and choledocholithiasis was demonstrated to be safe and successful.

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