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

Initial cholecystectomy vs. sequential common duct endoscopic assessment and subsequent cholecystectomy for suspected gallstone migration. A randomized clinical trial. JAMA 2014; 312: 137-144.

Published: 4th December 2014

Authors: Iranmanesh P, Frossard J-L, Mugnier-Konrad B, Morel P, Majno P, Nguyen-Tang T et al. et al.

Conclusion

One hundred patients were included. Initial acute cholecystectomy with cholangiogram, and bile duct exploration as required, reduced overall hospital stay from median eight to five days (P<0.001) without affecting complication rates, compared to an endoscopy first policy.

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