Combined endo-laparoscopic approach in managing patients with gallstones and common bile duct stones: An early experience

Gallstones with common bile duct stones is a common condition in Hong Kong. Management still remains a challenge nowadays. Laparoscopic cholecystectomy with intraoperative endoscopic retrograde cholangiopancreatography (ERCP) is a single-stage approach which improves patient comfort and is associated with less post-ERCP pancreatitis. With the new endo-laparoscopic operating theatre in service, the combined endo-laparoscopic approach becomes simple and practical. We report here our two early experiences using this approach.