Purpose
Validation of combined laparoscopic cholecystectomy (LC) and exploration of the common bile duct (LECBD) for concurrent cholelithiasis and choledocholithiasis.
Patients and methods
One hundred and four adult patients with cholelithiasis and choledocholithiasis who underwent combined LC/LECBD from January 2015 to December 2019 at Sohag University Hospital were retrospectively enrolled. Demographic and clinical data, postoperative complications, recurrence rate, and long-term treatment failure were analyzed.
Results
LC/LECBD was successfully completed in 101 patients (97.11%), whereas only three patients (2.88%) underwent conversion to open approach. Female/male ratio was 68/36 with mean age of 41.35 ± 9.08 years. Clearance of bile duct stones was accomplished in 103 (99.03%) patients. Minor postoperative complications were observed in seven patients (6.73%), among which bile leakage occurred in three patients (2.88%). Missed common bile duct stones developed in one patient (0.96%), superficial surgical-site infection in two (1.92%) patients, and slippage of T-tube in one (0.96%). Biliary injury or stricture was never reported during the follow-up period (range: 2–7) years.
Conclusion
LC/LECBD is safe and effective for management of concomitant cholelithiasis/choledocolithiasis with excellent long-term outcome.