One-Stage versus Two-Stage ERCP followed by laparoscopic cholecystectomy for the Management of Pediatric Choledocholithiasis: A Systematic Review and Meta-Analysis
Topic overview
This systematic review compares single-stage (combined laparoscopic cholecystectomy with intraoperative ERCP) versus two-stage (preoperative ERCP followed by interval cholecystectomy) approaches for treating bile duct stones in pediatric patients. The analysis addresses a gap in pediatric-specific evidence regarding optimal surgical timing and technique for choledocholithiasis management.
Key takeaways
- Single-stage LC with intraoperative ERCP and two-stage preoperative ERCP followed by LC are both used for pediatric choledocholithiasis.
- Adult meta-analyses show comparable safety between approaches, but pediatric-specific evidence remains limited.
- Optimal management strategy for pediatric choledocholithiasis is still debated due to lack of consensus data.
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How to cite: GlobalCastMD. One-Stage versus Two-Stage ERCP followed by laparoscopic cholecystectomy for the Management of Pediatric Choledocholithiasis: A Systematic Review and Meta-Analysis. GlobalCastMD Medical Library. 2025-11-09. https://library.globalcastmd.com/article/11224
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