iarjmsIARJMSIARJMS2708-3594https://doi.org/10.47310/iarjms.2020.v01i02.038Management of Cholelithiasis With Choledocholithiasis In A Tertiary Care Hospital Of Southern India: A Cross-Sectional Descriptive StudySreepadaVenkataSubhramanyamBalajiPrasadNayakAssociate Professor, Department of General Medicine, Shadan Institute of Medical Sciences, Teaching Hospital and Research Centre, Hyderabad, IndiaIntroduction: The management of concomitant CBD and gall bladder stones has evolved significantly over the past 20-30 years. In the era of open surgery, open CBD exploration (choledocholithotomy) used to be performed if any common bile duct stones were identified at cholangiography. Following the introduction of ERCP, open CBD exploration was reserved for patients with failed ERCP. Materials and Methods: This cross-sectional study was carried out in the department of General surgery in concordance with Department of General Medicine, Shadan Institute of Medical Sciences, Teaching Hospital and Research Centre on patients admitted with diagnosis of Cholelithiasis with choledocholithiasis from January 2020 to June 2020. Results and Discussion: Out of 120 patients of Cholelithiasis with choledocholithiasis, seventy-eight patients (65.0%) underwent ERCP. Out of these seventy-eight patients, 67 patients (85.89%) were cleared of CBD stones and underwent cholecystectomy. Out of Sixty-seven patients, laparoscopic cholecystectomy was performed in 60 patients (89.55%) and 7 patients (10.45%) were subjected to open cholecystectomy. Conclusion: Cholelithiasis with choledocholithiasis is a common condition worldwide. Associated CBD stones are seen in 10-15% of patients with cholelithiasis. ERCP for the management of CBD stones followed by cholecystectomy is the most common modality of treatment. Presently it is a convenient, safe and cost-effective procedure with a success rate of 89.7%.