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In this issue of JAMA Surgery, Wandling et al1 reported a decrease in the use of both open and laparoscopic common bile duct exploration (LCBDE) for patients with choledocholithiasis. Corresponding to this decrease in LCBDE with laparoscopic cholecystectomy (LC), the authors noted a marked increase in the use of endoscopic retrograde cholangiopancreatography (ERCP) with LC to treat choledocholithiasis.1 The authors also reported a shorter length of stay for patients treated with LCBDE+LC vs ERCP+LC, which was similar to results that had been previously reported.2
Shen F, Pawlik TM. Surgical Management of Choledocholithiasis: A Disappearing Skill. JAMA Surg. 2016;151(12):1130–1131. doi:10.1001/jamasurg.2016.2087
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