Endoscopic Retrograde Cholangiopancreatography Versus Laparoscopic Transcystic Balloon Dilatation of Papilla Vateri in Patients with Choledocholithiasis

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dc.contributor.authorAleksandrovs, Dmitrijs
dc.contributor.authorIvanovs, Igors
dc.contributor.authorPlaudis, Haralds
dc.contributor.authorFokins, Vladimirs
dc.contributor.authorKaminskis, Aleksejs
dc.contributor.institutionFaculty of Medicine
dc.date.accessioned2024-12-05T15:30:01Z
dc.date.available2024-12-05T15:30:01Z
dc.date.issued2024-08
dc.descriptionPublisher Copyright: © The Authors.
dc.description.abstractTwo-step therapy, endoscopic retrograde cholangiopancreatography with papillotomy and stone evacuation from common bile duct (CBD), and laparoscopic cholecystectomy (ERCP/LC) is standard treatment of choledocholithiasis and acute cholecystitis in our hospital, Rīga East University Hospital Gaiļezers. The one-step method, LC with intraoperative transcystic balloon dilatation of the papilla Vateri and anterograde evacuation of gallstones to duodenum (BD/LC), has been introduced in our hospital. The aim of this study was to compare two-step and BD/LC methods and report the outcomes from hospital’s clinical experience. A retrospective, comparative study was done from 01.2021 to 10.2023. Patients with acute calculous cholecystitis and choledocholithiasis with gallstone diameter in CBD cm, ASA score I-III were included. Gallstone’s diameter and number, hospitalisation time, and success rate were analysed. A total of 95 patients were included in our study, of which 46 patients underwent BD/LC and in 49 patients ERCP/LC was used. Median diameter of gallstones in the CBD was 6.1 mm in BD/LC and 6.3 mm in the ERCP/LC group ( p = 0.38). Median hospitalisation time for patients with single-step treatment was seven days, and two-step therapy — 14 days ( p = 0.001). The complication rate in BD/LS was 4.34% but in ERCP/LC group — 10.2% after ERCP ( p = 0.049). The success rate in BD/LC was 95.6% and in ERCP/LC group — 89.6% ( p = 0.145). BD/LC is associated with a shorter hospitalisation time, similar success rate and lower complication rate compared with an ERCP/LC.en
dc.description.statusPeer reviewed
dc.format.extent6
dc.format.extent152296
dc.identifier.citationAleksandrovs, D, Ivanovs, I, Plaudis, H, Fokins, V & Kaminskis, A 2024, 'Endoscopic Retrograde Cholangiopancreatography Versus Laparoscopic Transcystic Balloon Dilatation of Papilla Vateri in Patients with Choledocholithiasis', Proceedings of the Latvian Academy of Sciences, Section B: Natural, Exact, and Applied Sciences, vol. 78, no. 4, pp. 311-316. https://doi.org/10.2478/prolas-2024-0043
dc.identifier.doi10.2478/prolas-2024-0043
dc.identifier.issn1407-009X
dc.identifier.otherMendeley: 3eba7a11-a007-3a15-a69e-a54a56cb930e
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/16955
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85204053179&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofProceedings of the Latvian Academy of Sciences, Section B: Natural, Exact, and Applied Sciences
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectcommon bile duct exploration
dc.subjectgallstone disease
dc.subjectminimally invasive surgery
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectGeneral
dc.titleEndoscopic Retrograde Cholangiopancreatography Versus Laparoscopic Transcystic Balloon Dilatation of Papilla Vateri in Patients with Choledocholithiasisen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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