To share experience on the intraoperative combined application of laparoscopy, choledochoscopy, and duodenoscopy for treating cholecystolithiasis complicated by choledocholithiasis in a clinical setting.
Approach:
Key Findings:
The experimental group had a mean age of 63 years and a mean operative time of 152 minutes.
The mean estimated blood loss was 46 mL in the experimental group.
Postoperative pancreatitis occurred in 6.7% of patients, with one case related to intraoperative stone extraction.
Hospital stay was shorter in the experimental group compared to the control group.
Interpretation:
The 'single-stage triple-endoscopic approach' is a minimally invasive treatment option that is as safe and effective as traditional methods.
Limitations:
Small sample size in the control group (n=10).
Retrospective nature of the study may introduce bias.
Conclusion:
The combined approach offers high clinical applicability in managing gallstones with choledocholithiasis.
In a small open-label randomized trial, 2 platelet-rich plasma injections were associated with greater 6-month improvements in pain and function than corticosteroid injection or oral aceclofenac among patients awaiting knee arthroplasty.
