Post endoscopic retrograde cholangiopancreatography optimal timing for laparoscopic cholecystectomy
Journal Title: Medpulse International Journal of Surgery - Year 2017, Vol 3, Issue 1
Abstract
Background: Endoscopic retrograde cholangiopancreatography (ERCP) followed by laparoscopic cholecystectomy (LC) makes up the current way of treating disease in patients with common bile duct (CBD) stones. The best period of time between ERCP and LC is atopic of debate. Methods: A total of 50 patients went through LC following ERCP from January 2016 to December 2017. Out of these, 28 patients had surgery within 3 days post ERCP (early) and 22 patients had surgery beyond3 days following ERCP (delayed). A prospective observational study of different technical problems encountered (conversion rate, operative duration, need for drain, bile duct injuries, frozen Calot’s, and adhesions) was done and compared. Results: The incidence of cystic duct injury, adhesions, need for drain placement, frozen Calot’s and the mean operative duration and postoperative stay were much higher in the delayed group. The conversion rate though higher is not statistically significant. Conclusion: The longer the interval between ERCP and LC, the higher are the chances of meeting difficulties and the riskof conversion to open technique as well as the need for increasedhospital stay following surgery. Early LC following ERCP is feasible and safe with short hospital stay.
Authors and Affiliations
Mirza Faraz Beg, Sunil Kumar Agrawal, Arun Dhankhar
Keywords
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