Summary of the Outcomes of Randomized Controlled Trials Since 1980 Comparing Endoscopic Sphincterotomy (ES), Open Surgical Common Duct Exploration (Surg.), Laparoscopic Common Bile Duct Exploration (Lap.), and Laparo–ES Rendezvous (Lap.–ES).
Summary of the Outcomes of Randomized Controlled Trials Since 1980 Comparing Endoscopic Sphincterotomy (ES), Open Surgical Common Duct Exploration (Surg.), Laparoscopic Common Bile Duct Exploration (Lap.), and Laparo–ES Rendezvous (Lap.–ES).
Years | Intervention | Patients n | Stone Clearance n (%)* | Additional CBDI needed (ES or Surg.) n (%)† | Complications n (%)† | Mortality n (%) | Length of Hospital Stay d (range) |
---|---|---|---|---|---|---|---|
1980–2000 | ES | 472 | 301/358 (84.1) | 70/472 (14.8) | 73/472 (15.5) | 10/472 (2.1) | 3.5–17 |
Surg. | 313 | 201/220 (91.4) | 37/265 (14.0) | 60/313 (19.2) | 4/313 (1.3) | 6–22 | |
Lap. | 173 | 130/149 (87.2) | 29/149 (19.5) | 28/173 (16.2) | 1/173 (0.6) | 1–6 | |
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2001–2010 | ES | 421 | 274/353 (77.6) | 42/421 (9.8) | 55/421 (13.1) | 1/421 (0.2) | 3–9 |
Lap. | 293 | 217/239 (90.8) | 26/293 (8.9) | 31/293 (10.6) | 1/293 (0.3) | 4–8 | |
Lap.–ES | 165 | 123/131 (93.9) | 9/165 (5.5) | 8/165 (4.8) | 0/165 (0) | 3–5 | |
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2011–2023 | ES | 637 | 496/553 (89.7) | 28/433 (6.5) | 62/596 (10.4) | 3/637 (0.5) | 3–11 |
Lap. | 528 | 423/449 (94.2) | 22/366 (6.0) | 42/528 (8.0) | 0/528 (0) | 2–7 | |
Lap.–ES | 220 | 155/167 (92.8) | 3/79 (3.8) | 8/178 (4.5) | 1/220 (0.5) | 1–7 |