Single-Stage Management of Common Bile Duct Stones with Laparoscopic Common Duct Exploration and Cholecystectomy is Safe and Cost Effective in a Large Multi-Hospital Health Care System

RESULTS: Laparoscopic VHR had fewer readmissions (6.9% vs 9.2%, [OR] 0.73, 95% CI, 0.63-0.85). The 2 most common reasons for readmission were wound occurrences (32.2%) and gastrointestinal disorders (14.3%; mostly nausea, emesis, and bowel obstruction). Early readmissions occurred in 283 patients (2.3% of the entire cohort). Gastrointestinal disorders were more common for early readmissions (41.5% vs 11.5%, OR 5.46, 95% CI, 3.73-7.94) and after laparoscopic VHR (33.1% vs 16%, OR 2.59, 95% CI, 1.75-3.84). Wound occurrences were more common for late readmissions (53.5% vs 19.3%, OR 4.81, 95% CI, 3.28-7.06) and after open VHR (49.6% vs 24.4%, OR 3.05, 95% CI, 2.06-4.52).