To evaluate the recent effect of endoscopic retrograde cholangiopancreatography(ERCP) and endoscopic sphincterotomy (EST) combined with laparoscopic cholecystectomy (LC), laparoscopic cholecystectomy (LC) combined with Laparoscopic common bile duct exploration (LCBDE) and conventional laparotomy for the treatment of gallstones and common bile duct stones.

From May 2014 to April 2018, 224 patients with gallstones and common bile duct stones were selected and analyzed retrospectively. According to the different surgical methods, they were divided into group A(ERCP/EST combined with LC, 84 cases), group B (LC combined with LCBDE, 76 cases), group C (Traditional laparotomy, 64 cases). Statistical software SPSS 22.0 was used to analyze. The complication rate, calculus residual rate and recurrence rate were compared by χ² test. The surgical data were expressed as (±s) and compared with F test; P<0.05 was statistically significant.

The differences of operation time, postoperative fasting days, anus exhaust time and hospitalization time were statistically significant among the three groups (all P<0.05). The above indicators in group A and group B were better than those in group C (all P<0.05). The incidence of postoperative complications in group A, B, and C was 6.0%, 1.3%, and 12.5%, respectively, there was a statistically significant difference among the three groups (χ²=7.1110, P<0.05). There was no significant difference in the rate of residual stones and recurrence rate at 6 months after surgery between the three groups (all P>0.05).

Postoperative fasting days and shorter hospitalization time were shorter in both ERCP/EST combined with LC, LC and LCBDE for the treatment of gallbladder and common bile duct stones, and the incidence of surgical complications is low, they are safe and reliable surgical methods, but the effect of LC combined with LCBDE is relatively better, and the appropriate treatment can be selected according to the patient’s own conditions.

Choledocholithiasis; Cholecystolithiasis; Laparoscopes; Cholecystectomy, laparoscopic; Cholecystectomy; Cholangiopancreatography, endoscopic Retrograde