MTP2.08 Emergency management of common bile duct stones: a cost analysis of laparoscopic common bile duct exploration versus endoscopic retrograde cholangiopancreatography

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Discussion

Retrospective review compares cost effectiveness of laparoscopic exploration and ERCP in CBD management.

Laparoscopic common bile duct exploration showed lower costs than endoscopic retrograde cholangiopancreatography.
Patients undergoing CBDE had significantly shorter hospital stays and fewer postoperative interventions.
Emergent CBDE resulted in decreased total costs compared to ERCP at five years post-procedure.
Increased initial investment for CBDE is offset by long-term savings in patient care and procedure costs.

Howard et al. (2025) studied this question.

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