Quality of life after Laparoscopic common bile duct exploration versus ERCP for common bile duct stones

Abstract
Background
Management of patients with choledocholithiasis comprises endoscopic retrograde cholangiopancreatography and laparoscopic cholecystectomy or laparoscopic cholecystectomy with common bile duct exploration at the same session. Assessment of the quality of life after two stages endoscopic retrograde cholangiopancreatography and laparoscopic cholecystectomy or single stage laparoscopic cholecystectomy with common bile duct exploration may play a role in decision making.
Patients and method the study include A total of 80 patients were included in the study. Patients was divided into two groups, group A which patients undergo laparoscopic common bile duct exploration and group B for which ERCP will done followed by interval laparoscopic cholecystectomy.

Result: Improvements in all eight aspects of quality of life
have been observed in patients undergo single stage laparoscopic cholecystectomy in concomitant with common bile duct exploration group A than group B for which ERCP followed by interval laparoscopic cholecystectomy.

Conclusion: the standard operation for common bile duct stones which is Endoscopic retrograde cholangiopancreatography followed by laparoscopic cholecystectomy is associated with low quality of life in relation to single stage laparoscopic cholecystectomy in concomitant with common bile duct exploration.
Keywords: Common bile duct stones, Laparoscopic common bile duct exploration and endoscopic retrograde cholangiopancreatography.