September 12, 2025CureusOpen Access

Balancing Endoscopy and Surgery in Choledocholithiasis: A 12-Year Real-World Analysis From a Brazilian Tertiary University Hospital

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Discussion

Retrospective analysis highlights complications and outcomes in choledocholithiasis treatment in Brazil, suggesting ERCP as first-line therapy.

ERCP was successful in 77.8% of patients, demonstrating its effectiveness as first-line therapy for choledocholithiasis.
Surgery was necessary for 22.2% of patients, with higher rates of complications at 32.1% compared to 12.3% in ERCP-only procedures.
Hospitalization was longer for surgical patients, averaging 12 days, compared to 4.7 days for those treated with ERCP alone.
In-hospital mortality rates showed no significant differences between treatment methods, remaining below 9% across all groups.

Ceribeli et al. (2025) studied this question.

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September 12, 2025CureusOpen Access

View Full Paper

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Authors

Retrospective analysis highlights complications and outcomes in choledocholithiasis treatment in Brazil, suggesting ERCP as first-line therapy.

ERCP was successful in 77.8% of patients, demonstrating its effectiveness as first-line therapy for choledocholithiasis.
Surgery was necessary for 22.2% of patients, with higher rates of complications at 32.1% compared to 12.3% in ERCP-only procedures.
Hospitalization was longer for surgical patients, averaging 12 days, compared to 4.7 days for those treated with ERCP alone.
In-hospital mortality rates showed no significant differences between treatment methods, remaining below 9% across all groups.

Ceribeli et al. (2025) studied this question.

View Full Paper

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