Efficiency and Safety of One-Step Procedure Combined Laparoscopic Cholecystectomy and Eretrograde Cholangiopancreatography for Treatment of Cholecysto-Choledocholithiasis: A Randomized Controlled Trial
We aimed to evaluate the efficiency and safety of one-step procedure combined endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC) for treatment of patients with cholecysto-choledocholithiasis. A prospective randomized study was performed on 63 consecutive chol...
Gespeichert in:
| Veröffentlicht in: | The American surgeon 2017-11, Vol.83 (11), p.1263-1267 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1267 |
|---|---|
| container_issue | 11 |
| container_start_page | 1263 |
| container_title | The American surgeon |
| container_volume | 83 |
| creator | Liu, Zhiyi Zhang, Luyao Liu, Yanling Gu, Yang Sun, Tieliang |
| description | We aimed to evaluate the efficiency and safety of one-step procedure combined endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC) for treatment of patients with cholecysto-choledocholithiasis. A prospective randomized study was performed on 63 consecutive cholecysto-choledocholithiasis patients during 2008 and 2011. The efficiency and safety of one-step procedure was assessed by comparing the two-step LC with ERCP + endoscopic sphincterotomy (EST). Outcomes including intraoperative features, postoperative features (length of stay and postoperative complications) were evaluated. One- or two-step procedure of LC with ERCP + EST was successfully performed in all patients, and common bile duct stones were completely removed. Statistical analyses showed that length of stay and pulmonary infection rate were significantly lower in the test group compared with that in the control group (P < 0.05), whereas no statistical difference in other outcomes was found between the two groups (all P > 0.05). The one-step procedure of LC with ERCP + ESTis superior to the two-step procedure for treatment of patients with cholecysto-choledocholithiasis regarding to the reduced hospital stay and inhibited occurrence of pulmonary infections. Compared with two-step procedure, one-step procedure of LC with ERCP + EST may be a superior option for cholecysto-choledocholithiasis patients treatment regarding to hospital stay and pulmonary infections. |
| doi_str_mv | 10.1177/000313481708301129 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1970271419</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_000313481708301129</sage_id><sourcerecordid>1975984262</sourcerecordid><originalsourceid>FETCH-LOGICAL-c415t-9df7552c61fafde5c46c7b45ec5c24ead7ea724e80ca559afab8ad783bacdc13</originalsourceid><addsrcrecordid>eNp1kc9u1DAQxiMEokvhBTggS1y4hMZOvEm4VdHyR1qpiO49mozHu66SONjOIbwhb4XTLRUCcZrx-DffN_YkyWuevee8LK-yLMt5XlS8zKo841zUT5INl1KmdSXyp8lmBdKVuEheeH8Xj8VW8ufJhah5lUtRb5KfO60NGhpxYTAqdguawsKsZjcjpbeBJvbVWSQ1O2KNHTozkmJ7mMBZj3YyyJqT7QkXHwiDHc4yO0fB2aMDRff3MB6NnWBERxDW-nRamLaOHdbCQGNYLR-VbHqfKosxmHAy4I3_wK7ZtyhuB_MjztDYMVr0kYoiBvqXyTMNvadXD_EyOXzcHZrP6f7m05fmep9iwWVIa6VLKQVuuQatSGKxxbIrJKFEURCokqCMSZUhSFmDhq6KxSrvABXy_DJ5d5adnP0-kw_tYDxSH59IdvYtr8tMlLzgdUTf_oXe2dmNcbiVknVViK2IlDhTGH_UO9Lt5MwAbml51q57bv_dc2x68yA9dwOpx5bfi43A1RnwcKQ_fP8v-Que_LZF</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1975984262</pqid></control><display><type>article</type><title>Efficiency and Safety of One-Step Procedure Combined Laparoscopic Cholecystectomy and Eretrograde Cholangiopancreatography for Treatment of Cholecysto-Choledocholithiasis: A Randomized Controlled Trial</title><source>SAGE Complete A-Z List</source><creator>Liu, Zhiyi ; Zhang, Luyao ; Liu, Yanling ; Gu, Yang ; Sun, Tieliang</creator><creatorcontrib>Liu, Zhiyi ; Zhang, Luyao ; Liu, Yanling ; Gu, Yang ; Sun, Tieliang</creatorcontrib><description>We aimed to evaluate the efficiency and safety of one-step procedure combined endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC) for treatment of patients with cholecysto-choledocholithiasis. A prospective randomized study was performed on 63 consecutive cholecysto-choledocholithiasis patients during 2008 and 2011. The efficiency and safety of one-step procedure was assessed by comparing the two-step LC with ERCP + endoscopic sphincterotomy (EST). Outcomes including intraoperative features, postoperative features (length of stay and postoperative complications) were evaluated. One- or two-step procedure of LC with ERCP + EST was successfully performed in all patients, and common bile duct stones were completely removed. Statistical analyses showed that length of stay and pulmonary infection rate were significantly lower in the test group compared with that in the control group (P < 0.05), whereas no statistical difference in other outcomes was found between the two groups (all P > 0.05). The one-step procedure of LC with ERCP + ESTis superior to the two-step procedure for treatment of patients with cholecysto-choledocholithiasis regarding to the reduced hospital stay and inhibited occurrence of pulmonary infections. Compared with two-step procedure, one-step procedure of LC with ERCP + EST may be a superior option for cholecysto-choledocholithiasis patients treatment regarding to hospital stay and pulmonary infections.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/000313481708301129</identifier><identifier>PMID: 29183529</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Abdomen ; Abdominal surgery ; Antibiotics ; Bile ; Bile ducts ; Cholecystectomy ; Clinical trials ; Complications ; Disease ; Efficiency ; Endoscopy ; Fever ; Gallbladder ; Gallbladder diseases ; Gallstones ; Infections ; Laparoscopy ; Liver ; Pancreatitis ; Patients ; Randomization ; Safety ; Statistical analysis ; Statistics ; Systematic review</subject><ispartof>The American surgeon, 2017-11, Vol.83 (11), p.1263-1267</ispartof><rights>2017 Southeastern Surgical Congress</rights><rights>Copyright Southeastern Surgical Congress Nov 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-9df7552c61fafde5c46c7b45ec5c24ead7ea724e80ca559afab8ad783bacdc13</citedby><cites>FETCH-LOGICAL-c415t-9df7552c61fafde5c46c7b45ec5c24ead7ea724e80ca559afab8ad783bacdc13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/000313481708301129$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/000313481708301129$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29183529$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Zhiyi</creatorcontrib><creatorcontrib>Zhang, Luyao</creatorcontrib><creatorcontrib>Liu, Yanling</creatorcontrib><creatorcontrib>Gu, Yang</creatorcontrib><creatorcontrib>Sun, Tieliang</creatorcontrib><title>Efficiency and Safety of One-Step Procedure Combined Laparoscopic Cholecystectomy and Eretrograde Cholangiopancreatography for Treatment of Cholecysto-Choledocholithiasis: A Randomized Controlled Trial</title><title>The American surgeon</title><addtitle>Am Surg</addtitle><description>We aimed to evaluate the efficiency and safety of one-step procedure combined endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC) for treatment of patients with cholecysto-choledocholithiasis. A prospective randomized study was performed on 63 consecutive cholecysto-choledocholithiasis patients during 2008 and 2011. The efficiency and safety of one-step procedure was assessed by comparing the two-step LC with ERCP + endoscopic sphincterotomy (EST). Outcomes including intraoperative features, postoperative features (length of stay and postoperative complications) were evaluated. One- or two-step procedure of LC with ERCP + EST was successfully performed in all patients, and common bile duct stones were completely removed. Statistical analyses showed that length of stay and pulmonary infection rate were significantly lower in the test group compared with that in the control group (P < 0.05), whereas no statistical difference in other outcomes was found between the two groups (all P > 0.05). The one-step procedure of LC with ERCP + ESTis superior to the two-step procedure for treatment of patients with cholecysto-choledocholithiasis regarding to the reduced hospital stay and inhibited occurrence of pulmonary infections. Compared with two-step procedure, one-step procedure of LC with ERCP + EST may be a superior option for cholecysto-choledocholithiasis patients treatment regarding to hospital stay and pulmonary infections.</description><subject>Abdomen</subject><subject>Abdominal surgery</subject><subject>Antibiotics</subject><subject>Bile</subject><subject>Bile ducts</subject><subject>Cholecystectomy</subject><subject>Clinical trials</subject><subject>Complications</subject><subject>Disease</subject><subject>Efficiency</subject><subject>Endoscopy</subject><subject>Fever</subject><subject>Gallbladder</subject><subject>Gallbladder diseases</subject><subject>Gallstones</subject><subject>Infections</subject><subject>Laparoscopy</subject><subject>Liver</subject><subject>Pancreatitis</subject><subject>Patients</subject><subject>Randomization</subject><subject>Safety</subject><subject>Statistical analysis</subject><subject>Statistics</subject><subject>Systematic review</subject><issn>0003-1348</issn><issn>1555-9823</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kc9u1DAQxiMEokvhBTggS1y4hMZOvEm4VdHyR1qpiO49mozHu66SONjOIbwhb4XTLRUCcZrx-DffN_YkyWuevee8LK-yLMt5XlS8zKo841zUT5INl1KmdSXyp8lmBdKVuEheeH8Xj8VW8ufJhah5lUtRb5KfO60NGhpxYTAqdguawsKsZjcjpbeBJvbVWSQ1O2KNHTozkmJ7mMBZj3YyyJqT7QkXHwiDHc4yO0fB2aMDRff3MB6NnWBERxDW-nRamLaOHdbCQGNYLR-VbHqfKosxmHAy4I3_wK7ZtyhuB_MjztDYMVr0kYoiBvqXyTMNvadXD_EyOXzcHZrP6f7m05fmep9iwWVIa6VLKQVuuQatSGKxxbIrJKFEURCokqCMSZUhSFmDhq6KxSrvABXy_DJ5d5adnP0-kw_tYDxSH59IdvYtr8tMlLzgdUTf_oXe2dmNcbiVknVViK2IlDhTGH_UO9Lt5MwAbml51q57bv_dc2x68yA9dwOpx5bfi43A1RnwcKQ_fP8v-Que_LZF</recordid><startdate>201711</startdate><enddate>201711</enddate><creator>Liu, Zhiyi</creator><creator>Zhang, Luyao</creator><creator>Liu, Yanling</creator><creator>Gu, Yang</creator><creator>Sun, Tieliang</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>201711</creationdate><title>Efficiency and Safety of One-Step Procedure Combined Laparoscopic Cholecystectomy and Eretrograde Cholangiopancreatography for Treatment of Cholecysto-Choledocholithiasis: A Randomized Controlled Trial</title><author>Liu, Zhiyi ; Zhang, Luyao ; Liu, Yanling ; Gu, Yang ; Sun, Tieliang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-9df7552c61fafde5c46c7b45ec5c24ead7ea724e80ca559afab8ad783bacdc13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Abdomen</topic><topic>Abdominal surgery</topic><topic>Antibiotics</topic><topic>Bile</topic><topic>Bile ducts</topic><topic>Cholecystectomy</topic><topic>Clinical trials</topic><topic>Complications</topic><topic>Disease</topic><topic>Efficiency</topic><topic>Endoscopy</topic><topic>Fever</topic><topic>Gallbladder</topic><topic>Gallbladder diseases</topic><topic>Gallstones</topic><topic>Infections</topic><topic>Laparoscopy</topic><topic>Liver</topic><topic>Pancreatitis</topic><topic>Patients</topic><topic>Randomization</topic><topic>Safety</topic><topic>Statistical analysis</topic><topic>Statistics</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Zhiyi</creatorcontrib><creatorcontrib>Zhang, Luyao</creatorcontrib><creatorcontrib>Liu, Yanling</creatorcontrib><creatorcontrib>Gu, Yang</creatorcontrib><creatorcontrib>Sun, Tieliang</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>University Readers</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>The American surgeon</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Zhiyi</au><au>Zhang, Luyao</au><au>Liu, Yanling</au><au>Gu, Yang</au><au>Sun, Tieliang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficiency and Safety of One-Step Procedure Combined Laparoscopic Cholecystectomy and Eretrograde Cholangiopancreatography for Treatment of Cholecysto-Choledocholithiasis: A Randomized Controlled Trial</atitle><jtitle>The American surgeon</jtitle><addtitle>Am Surg</addtitle><date>2017-11</date><risdate>2017</risdate><volume>83</volume><issue>11</issue><spage>1263</spage><epage>1267</epage><pages>1263-1267</pages><issn>0003-1348</issn><eissn>1555-9823</eissn><abstract>We aimed to evaluate the efficiency and safety of one-step procedure combined endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC) for treatment of patients with cholecysto-choledocholithiasis. A prospective randomized study was performed on 63 consecutive cholecysto-choledocholithiasis patients during 2008 and 2011. The efficiency and safety of one-step procedure was assessed by comparing the two-step LC with ERCP + endoscopic sphincterotomy (EST). Outcomes including intraoperative features, postoperative features (length of stay and postoperative complications) were evaluated. One- or two-step procedure of LC with ERCP + EST was successfully performed in all patients, and common bile duct stones were completely removed. Statistical analyses showed that length of stay and pulmonary infection rate were significantly lower in the test group compared with that in the control group (P < 0.05), whereas no statistical difference in other outcomes was found between the two groups (all P > 0.05). The one-step procedure of LC with ERCP + ESTis superior to the two-step procedure for treatment of patients with cholecysto-choledocholithiasis regarding to the reduced hospital stay and inhibited occurrence of pulmonary infections. Compared with two-step procedure, one-step procedure of LC with ERCP + EST may be a superior option for cholecysto-choledocholithiasis patients treatment regarding to hospital stay and pulmonary infections.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>29183529</pmid><doi>10.1177/000313481708301129</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0003-1348 |
| ispartof | The American surgeon, 2017-11, Vol.83 (11), p.1263-1267 |
| issn | 0003-1348 1555-9823 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1970271419 |
| source | SAGE Complete A-Z List |
| subjects | Abdomen Abdominal surgery Antibiotics Bile Bile ducts Cholecystectomy Clinical trials Complications Disease Efficiency Endoscopy Fever Gallbladder Gallbladder diseases Gallstones Infections Laparoscopy Liver Pancreatitis Patients Randomization Safety Statistical analysis Statistics Systematic review |
| title | Efficiency and Safety of One-Step Procedure Combined Laparoscopic Cholecystectomy and Eretrograde Cholangiopancreatography for Treatment of Cholecysto-Choledocholithiasis: A Randomized Controlled Trial |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T09%3A13%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Efficiency%20and%20Safety%20of%20One-Step%20Procedure%20Combined%20Laparoscopic%20Cholecystectomy%20and%20Eretrograde%20Cholangiopancreatography%20for%20Treatment%20of%20Cholecysto-Choledocholithiasis:%20A%20Randomized%20Controlled%20Trial&rft.jtitle=The%20American%20surgeon&rft.au=Liu,%20Zhiyi&rft.date=2017-11&rft.volume=83&rft.issue=11&rft.spage=1263&rft.epage=1267&rft.pages=1263-1267&rft.issn=0003-1348&rft.eissn=1555-9823&rft_id=info:doi/10.1177/000313481708301129&rft_dat=%3Cproquest_cross%3E1975984262%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1975984262&rft_id=info:pmid/29183529&rft_sage_id=10.1177_000313481708301129&rfr_iscdi=true |