Laparoscopic Cholecystectomy after Endoscopic Retrograde Cholangiopancreatography: The Optimal Timing for Operation

JOURNAL TITLE: World Journal of Laparoscopic Surgery

Author
1. Samir A Ammar
2. Mohamad Abdel Bar
3. Mohy El Shafy
ISSN
0974-5092
DOI
10.5005/jp-journals-10033-1220
Volume
7
Issue
2
Publishing Year
2014
Pages
5
Author Affiliations
    1. Department of Surgery, Assiut University Hospital, Assiut Egypt
    1. Department of Surgery, Assiut University Hospital, Assiut Egypt
    1. Department of Surgery, Assiut University Hospital, Assiut Egypt
  • Article keywords

    Abstract

    Background

    In patients with choledochocystolithiasis (CCL), early laparoscopic cholecystectomy (LC), within 72 hours, is recommended after endoscopic stone extraction. The objective of this study is to investigate LC for CCL within 24 hours of endoscopic retrograde cholangiopancreatography (ERCP) to determine its feasibility and safety.

    Materials and methods

    Group I, those patients who had LC within 24 hours after ERCP was compared with group II, those who had LC after 24 hours, but within 72 hours. Primary outcome was the conversion rate from LC to open cholecystectomy. Secondary outcomes were duration of LC, postoperative morbidity and hospital stay.

    Results

    Of 60 consecutive patients, 31 were in group I and 29 were in group II. There were no differences in groups I vs II in demographics, laboratory or ultrasonographic findings. The hospital stay in group I was significantly shorter than that of group II (2.5 ± 1.5 vs 4 ± 2 days respectively). There was no statistically significant difference in operative time, conversion to open cholecystectomy or postoperative morbidity between both groups.

    Conclusion

    LC for CCL within 24 hours after ERCP is feasible and safe with short hospital stay.

    How to cite this article

    Ammar SA, Bar MA, El Shafy M. Laparoscopic Cholecystectomy after Endoscopic Retrograde Cholangiopancreatography: The Optimal Timing for Operation. World J Lap Surg 2014;7(2):69-73.

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