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Laparoscopic Cholecystectomy (LC) Combined with Endoscopic Retrograde Cholangiopancreatography (ERCP) in a Single Session

When a patient has stones in two locations—the gallbladder and the common bile duct—traditional treatment requires the doctor to perform procedures on separate occasions, meaning the patient undergoes the treatment process and general anesthesia twice.

Currently, skilled surgeons can treat **"gallstones"** with Laparoscopic Cholecystectomy (LC) combined with treating **"common bile duct stones"** using Endoscopic Retrograde Cholangiopancreatography (ERCP) **simultaneously in a single session**.

Patients who are candidates for combined LC and ERCP should have common bile duct stones no larger than 1 cm, with a success rate exceeding 90%.

**The advantage** of treating gallstones and common bile duct stones simultaneously is that the patient only undergoes preparation and the treatment process once. The incisions are very small, leading to less pain, faster recovery, and a reduced length of hospital stay.


Self-Care After LC + ERCP

Avoid hot foods and consume soft, mild-flavored foods for at least 2-3 days. You may experience abdominal bloating after the procedure, but this should gradually improve. If you experience abnormal symptoms such as severe abdominal pain, a rigid abdomen, severe abdominal tightness/discomfort, shortness of breath, or fever, return to the doctor immediately.

Preparation Before LC + ERCP

  • Stop taking anti-platelet or blood-thinning medication 7 days before the treatment.
  • Do not consume any food or drink for at least 6 hours before the procedure.
  • Inform the doctor if you have any underlying conditions and a history of allergies to medication, seafood, or contrast media.

Cost of Laparoscopic Cholecystectomy & ERCP: LC + ERCP (4-Day Hospital Stay)

  • Price is approximately 280,000 - 350,000 Baht

             

Important Notes

  • Hospital stay: 3 nights, 4 days.
  • The price includes doctor's fees, service charges, room rate, food, and take-home medication.
  • The price does not include the cost of pre-treatment evaluation or follow-up examinations.
  • The price may change depending on the doctor's assessment or in case of complications.
  • General anesthesia will be used.
  • Prices are valid from January 1 to December 31, 2026.
  • The hospital reserves the right to change prices without prior notice.

For More Information

  • Surgery Clinic, G Floor, Building 1, Tel: 043 002 002 ext. 1920
  • Health Information Service Center, ext. 1905

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