Aim: Complicated bile duct stones with choledocholithiasis may cause serious morbidity and mortality if they are not treated properly in appropriate time. The aim of this study was to evaluate and compare; the cost, frequency of the imaging methods used and the length of the hospital stay of our patients after the one-stage and two-stage procedures performed in our surgery unit.
Material and Methods: Between 01.01.2014 and 31.12.2016, Endoscopic Retrograde Cholangio Pancreatography (ERCP) and Laparoscopic Cholecystectomy (LC) was performed to 16 patients out of 250 LC cases and was named as Group A; other 12 patients have had interval LC 6-8 weeks after the ERCP procedure and were named as Group B. The exclusion criterion was the presence of contraindication of LC, complicated ERCP and presence of any suspicion of any malignancy. The inclusion criterias were the presence of a gallbladder stone and a common bile duct stone in ultrasound and Magnetic Resonance Imaging respectively in suspected patients with high bilirubin levels. In both groups, ERCP and LC were performed by the same surgeon. Our aim was to evaluate the patient costs of the groups, see the frequency of the imaging methods used, and to compare length of their hospital stays.
Results: There were no complications during the ERCP and the LC in both groups. The duration of hospitalization in Group A was 6 [4-9.5] days and was statistically significantly longer in the group B patients which was 8.5 [9.5-10.5] days (p
Key words: Endoscopic Retrograde Cholangio Pancreatography, Laparoscopic Cholesistectomy, Interval cholecystectomy.
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