What question did this study set out to answer?

This study aims to compare the efficacy and safety of LC-first versus ERCP-first approaches in managing cholecystocholedocholithiasis during the same session.

April 7, 2026CureusOpen Access

A Comparative Study of Same-Session Laparoscopic Cholecystectomy (LC) and Endoscopic Retrograde Cholangiopancreatography (ERCP) in Cholecystocholedocholithiasis: LC-First Versus ERCP-First Approach

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This study aims to compare the efficacy and safety of LC-first versus ERCP-first approaches in managing cholecystocholedocholithiasis during the same session.
Conducted as a retrospective comparative study at Yemen Germany Hospital
Included 150 patients divided into Group A (ERCP-first) and Group B (LC-first)
Analyzed primary outcomes: CBD stone clearance, operative time, conversion rates, and secondary outcomes: complications and costs.
Successful CBD stone clearance: 87.5% in Group A vs. 95.7% in Group B (p = 0.098)
Mean operative time significantly shorter in Group B (69.8 min vs. 83.3 min; p < 0.001)
Lower hospital stay and cost for Group B (1 day and $1,100 vs. 3 days and $1,300; p < 0.001)
Conversion to open surgery: 8.8% in Group A vs. 2.9% in Group B (p = 0.17)
Similar rates of postoperative pancreatitis between groups.

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Implication

This retrospective study compares LC-first and ERCP-first approaches in same-session CCL management, suggesting LC-first may be more effective.

Cite This Study

Ateik et al. (2026) studied this question.

synapsesocial.com/papers/69d49ecbb33cc4c35a2277a2 https://doi.org/10.7759/cureus.106437

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Implication

This retrospective study compares LC-first and ERCP-first approaches in same-session CCL management, suggesting LC-first may be more effective.

A Comparative Study of Same-Session Laparoscopic Cholecystectomy (LC) and Endoscopic Retrograde Cholangiopancreatography (ERCP) in Cholecystocholedocholithiasis: LC-First Versus ERCP-First Approach

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Discussion

Implication

Cite This Study

A Comparative Study of Same-Session Laparoscopic Cholecystectomy (LC) and Endoscopic Retrograde Cholangiopancreatography (ERCP) in Cholecystocholedocholithiasis: LC-First Versus ERCP-First Approach

Key Points

Discussion

Implication

Cite This Study

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