الفهرس 
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Abstract
Gallstones are quite common. When stones move into the CBD, a condition known as choledocholithiasis, they may cause a number of unpleasant and even dangerous side effects.
Laparoscopy (LC) is the treatment of choice for symptomatic cholelithiasis, whereas endoscopic retrograde cholangiopancreatography (ERCP) is the first line of treatment for choledocholithiasis. However, surgery after Was such has been met with some scepticism.
There are proponents of both quick LC following ERCP and extended LC (6-8 weeks). Post-endoscopic retrograde cholangiopancreatography pancreatitis is one of the somewhat rare contraindications for early LC.
There is disagreement on how long a client should wait before receiving endoscopic retrograde cholangiopancreatography, despite the recommendation that laparoscopic cholecystectomy be performed quickly after diagnosis (ERCP). There would be no need for open cholecystectomies and fewer postoperative problems if cholecystectomies were performed immediately after ERCP. Patients’ rates of morbidity and complications need to be reduced.
The purpose of the present study was to compare the outcomes of one sessions to those of two sessions in terms of complications, surgical time, hospitalisation time, and cost.
This was a comparative clinical study conducted on 105 patients with spleen and CBD stones at Minya University Clinic for Laparoscopic and Qms Surgery in Egypt. There were two types of patients analysed. Twenty-five patients in group A had both ERCP and laparoscopic cholecystectomy at the same time, whereas thirty patients in group B required two separate sessions (ERCP after or before laparoscopic cholecystectomy).
The most important results of the study were: • There wasn’t a discernible difference in age or gender across the groups (p>0.05).
Six patients in club (A) (20%) had DM, four patients in team (B) (13.3%) had DM & hypertension, & two patients in club (B) (6%) had DM and asthma, but there was no significant statistical difference between the prevalence for co-morbidities here between two groups.
• There was a statistically significant difference in the two groups, with significantly more ERCP & anaesthetic sessions occurring in group (B) (p0.001).
Statistical analysis revealed statistically significant (p=0.024) difference in intraoperative both success and failure rates for the two groups.
Hospitalizations in group A lasted an average of 2.0 1.78 days, whilst those in group B averaged 3.53 days longer. Overall, patients from group (A) had a shorter hospital stay than those in unit (B) (p0.001).
• Postoperative complications were substantially higher in group (B) than in group (A) (p=0.003). Pancreatitis and cholangitis were treated with restraint. People who were bleeding underwent abdominal operations. One case of perforation was managed conservatively, while the other required exploratory surgery.
group (A) had average operating costs of 32526.7 11801.0 L.E., whilst group (B) had average costs of 55363.3 20572.9 L.E. The cost reduction in group A was much more than that in group B. (p0.001).
We conclude that further extensive studies with longer follow-up intervals are necessary to more firmly establish our results.