Results of surgical treatment of cholecystocholedocholithiasis using laparoscopic and hybrid approaches

Objective: To improve the treatment outcomes for cholecystocholedocholithiasis by refining the technique of minimally invasive biliary interventions. Materials and Methods: The study included 180 patients divided into two comparable groups. Parameters evaluated included stone removal efficiency, operative time, conversion rate, and postoperative complication rate. Results: The hybrid approach statistically significantly reduced operative time (112±10.3 min vs. 120.3±11.5 min; p<0.001). Lithoextraction efficiency (98% vs. 96.5%), conversion rate (8.6% vs. 12.64%), and postoperative complication rate (4.3% vs. 8.05%) were higher in the hybrid approach group; however, the differences did not reach statistical significance. Conclusion: A hybrid method for treating cholecystocholedocholithiasis is preferable, as it reduces surgical time and tends to reduce complications and conversion rates.