[THE COMBINED LAPAROSCOPIC AND ENDOSCOPIC TREATMENT FOR CONCOMITANT GALLSTONES AND COMMON BILE DUCT STONES: TWO STAGE OR SINGLE STAGE MANAGEMENT?].

Common bile duct stones occur in 3%-33% of patients suffering from gallbladder stones. Concurrent gallbladder and common bile duct stones should be treated due to the risk of life-threatening complications such as pancreatitis and cholangitis. There is no consensus regarding the optimal management of common bite duct stones associated with cho[elithiasis. Currently there are variable treatment protocols for concomitant gallstones and common bile duct stones which involve laparoscopic cholecystectomy and laparoscopic bile duct exploration alone, or in combination with preoperative, postoperative, or same session endoscopic retrograde cholangiopancreatography (ERCP). Treatment options depend on local expertise and resources. The aim of this review is to discuss the different treatment options and to assess their utility based on the most recent reports and reviews.