Objective To study the
efficacy and feasibility of the one-stage and two
classification method to treat concomitant
gallbladder stones and
common bile duct stones.
Methods 56 consecutive
patients with concomitant
gallbladder stones and
common bile duct stones in Central
Hospital of Huzhou were treated with the one-stage and two
classification method from January 2013 to January 2017.According to the size and quantity,
common bile duct stones were divided into difficult stones and non difficult stones.In plan A (n =35),endoscopic stone clearance and
laparoscopic cholecystectomy were undertaken in a single operation to treat non difficult stones,In
plan B (n =21),
laparoscopic cholecystectomy and CBD exploration without T-tube insertion were undertaken in a single operation to treat difficult stones.The operation success rate,
postoperative complications,
hospitalization stay and follow-up outcomes were analyzed.Results Fifty-six
patients were enrolled in the study.Fifty-one
patients were treated by the one-stage and two
classification method.Among them,thirty-two
patients followed
treatment plan A.Three
patients were convened to
plan B because of failure of
bile duet
intubation.Nineteen
patients were treated by
plan B.One
patient was converted to
laparotomy,and another underwent T-tube
drainage.The
incidence of complication was 7.1%.Post-
ERCP pancreatitis happened in one
patient.Post
ERCP bleeding happened in another
patient (1.6%).
Bile leakage occurred in one
patient,and incision
infection occurred in one
patient.There were no deaths.During a follow-up of 6-24 months,no stone
recurrence and
bile duct stenosis were observed.Conclusion The one-stage and two
classification method was an effective and feasible alternative to manage concomitant
gallbladder stones and
common bile duct stones.