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August 12, 2026ANZ Journal of Surgery

Cost‐Effectiveness of Laparoscopic Common Bile Duct Exploration Versus Endoscopic Retrograde Cholangiopancreatography in Emergency Stone Management

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THTess HowardNorthern Health LOLily OwensNorthern Health HSHarendra Maneesha De SilvaNorthern Health

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Implication

Retrospective review compares costs of laparoscopic vs endoscopic techniques for emergency CBD stone management, suggesting lower costs for laparoscopic approach.

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This study aims to compare the cost-effectiveness of laparoscopic common bile duct exploration versus endoscopic retrograde cholangiopancreatography in emergency management of CBD stones.
Retrospective review of 337 patients undergoing emergency management of CBD stones from January 2014 to September 2018.
Data on costs, length of stay, complications, and readmissions were collected and analyzed.
Patients were treated using either laparoscopic common bile duct exploration or ERCP combined with laparoscopic cholecystectomy.
CBDE had significantly lower median total admission costs ($10,668 vs. $15,418; p < 0.001).
Patients undergoing CBDE had shorter hospital stays (median 4 days vs. 7 days).
CBDE required fewer procedures over 5 years (mean 1.19 vs. 2.06; p < 0.001), and incurred lower overall costs.

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Howard et al. (2026) studied this question.

synapsesocial.com/papers/6a7c3d1906a85aed514b7b63 https://doi.org/10.1111/ans.70907

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Implication

Retrospective review compares costs of laparoscopic vs endoscopic techniques for emergency CBD stone management, suggesting lower costs for laparoscopic approach.

Cost‐Effectiveness of Laparoscopic Common Bile Duct Exploration Versus Endoscopic Retrograde Cholangiopancreatography in Emergency Stone Management

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Cite This Study

Cost‐Effectiveness of Laparoscopic Common Bile Duct Exploration Versus Endoscopic Retrograde Cholangiopancreatography in Emergency Stone Management

Discussion

Member takes

Implication

Key Points

Cite This Study

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