The international surgical journal with global reach

This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

A randomized clinical trial to compare endoscopic sphincterotomy and subsequent laparoscopic cholecystectomy with primary laparoscopic bile duct exploration during cholecystectomy in higher risk patients with cholodocholithiasis. J Lap Adv Surg Tech 2009; 19: 713-720.

Published: 1st January 2009

Authors: Noble H, Tranter S, Chesworth T, Norton S, Thompson M.

Conclusion

Complications and duration of hospital stay were similar. Bile duct clearance rates were 29/47 in patients who had preoperative endoscopic sphincterotomy, compared to all 44 of those who had primary laparoscopic bile duct exploration.

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