Cost-Benefit Analysis of Various Management Algorithms for Suspected Choledocholithiasis.
Document Type
Article
Publication Date
4-2025
Publication Title
The American surgeon
Abstract
The goal of our study is to evaluate the safest, efficient, and most cost-effective way to manage suspected choledocholithiasis. This retrospective study evaluated adult patients with suspected choledocholithiasis based on labs and imaging at a single institution between 2017 and 2022 and characterized them into 1 of 3 groups based on their management pathway: (1) ERCP-first, (2) MRCP-first, or (3) surgery-first with possible intraoperative cholangiogram pending laboratory trend. Our primary outcome was hospital length of stay. 34 patients (25%) had MRCP-first, 60 patients (45%) had ERCP-first, and 39 patients (30%) received surgery first. There was no statistically significant difference in the length of stay with respect to the management pathway utilized (
Volume
91
Issue
4
First Page
655
Last Page
657
Recommended Citation
Kelley JK, Mormol J, Reiber M, Sena A, Joy Abutin C, Sypniewski J, et al [ Reed C, Zambito GM, Banks-Venegoni AL] Cost-Benefit Analysis of Various Management Algorithms for Suspected Choledocholithiasis. Am Surg. 2025 Apr;91(4):655-657. doi: 10.1177/00031348241312120. PMID: 39754441.
DOI
10.1177/00031348241312120
ISSN
1555-9823
PubMed ID
39754441

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