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

DOI

10.1177/00031348241312120

ISSN

1555-9823

PubMed ID

39754441

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