Feasibility of laparoscopic-endoscopic rendezvous technology in high-risk cholecystocholedocholithiasis patients

The feasibility of one-stage laparoscopic-endoscopic rendezvous (LER) strategy in high-risk cholecystocholedocholithiasis (CCL) requires exploration. Prior to the study, 16 items were approved by hospital administrative and clinical departments to address logistic challenges. A total of 51 Patients were analyzed, median operation time, intraoperative bleeding, duration of nasobiliary drainage tube (NBDT), and posthospital stay were 210 min, 20 ml, 8 days and 10 days, respectively. There were no new-onset pancreatitis, cholangitis, bile leak, or residual stones. 22(43 %) of participants suffered postoperative complications: 9(18 %) had elevated amylase, 7(14 %) had elevated transaminase, 6(12 %) had NBDT dislocation, 3(6 %) had new-onset anemia, 2(4 %) had melena, and 2(4 %) died of organs failure. During 5-35 months follow-up, 3 out of 17 patients visited the clinic again due to biliary diseases, and 2 patients died of organs failure. One-stage LER for high-risk CCL maybe feasible, effective, achieving acceptable short-term and mid-term outcomes.