Laparoscopic choledocholithotripsy lower recurrence, costs than ERCP

A meta-analysis of 1,576 patients shows outcomes for managing common bile duct stones.

Preoperative endoscopic sphincterotomy (est) has a higher CBD clearance rate (OR 1.72).
Laparoscopic choledocholithotripsy (lcbde) shows lower stone recurrence (OR 0.27) and reduced costs ($2,059 savings).

Both methods have similar safety profiles; tailor treatment based on expertise and patient factors.

Hospital stays and residual stone rates were comparable.

Journal Article by Chen JH, Chen YT (…) Peng TR et 4 al. in J Gastrointest Surg

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