Chinese Registry Study on Treatment of Cholecysto-Choledocholithiasis
Chinese Registry Study on Treatment of Cholecysto-Choledocholithiasis
Patients with gallstone and confirmed common bile duct stones are registered in this study.
 The three managements for common bile duct stones are endoscopic sphincterotomy (EST),
 laparoscopic common bile duct exploration (LCBDE) and laparoscopic transcystic common bile
 duct exploration (LTCBDE). Patients will be assessed at baseline, preoperative
 investigations, operative method, operative time, conversion to open procedure,
 intraoperative and postoperative complications, and the presence of retained and recurrent
 stones. All patients were followed up for 3 years by telephone interview ang outpatient
 visits. Abdominal US and liver function tests were carried out whenever any abdominal symptom
 appeared during the follow-up period. If there were unusual findings, magnetic resonance
 cholangiopancreatography(MRCP) was carried out.
Inclusion Criteria:

 -  Patients with age between 18 - 80 years.

 -  Patients diagnosed with gallstones.

 -  Patients diagnosed with common bile duct stone by one of the three exam (MRI、MRCP and
 CT).

 -  Patients diagnosed with common bile duct stone by intro-operative cholangiography or
 transcystic exploration.

 -  Patients accepted one of the three managements (EST+LC, LCBDE and LTCBDE).

 Exclusion Criteria:

 -  Combined with Mirizzi syndrome and intrahepatic bile duct stones

 -  Previous EST/endoscopic retrograde cholangiopancreatography (ERCP) or percutaneous
 transhepatic biliary drainage (PTBD)

 -  History of upper abdominal surgery.

 -  Serious heart,brain,lung, metabolic diseases history.

 -  Pregnant women

 -  Unwillingness or inability to consent for the study.