Early Versus Late Laparoscopic Cholecystectomy following Endoscopic Sphincterotomy for Choledocholithiasis
Abstract
ABSTRACT
Background: The appropriate time for laparoscopic cholecystectomy, following endoscopic retrograde cholangio-pancreatography (ERCP) in patients with obstructive choledocho-lithiasis, is controversial.
Objective: To assess the outcome of early versus late laparoscopic cholecystectomy in patients with common bile duct stones following ERCP stone retrieval
Methods: A retrospective analysis was done at Al Yarmouk Teaching Hospital and Al Rafidin private hospital. Data pertaining to 68 patients, who have had late laparoscopic cholecystectomy after common bile duct stone extraction by ERCP, in the period from Oct. 2005 to Jan. 2012, were retrospectively analyzed. Two groups of patients; Group I (early laparoscopic cholecystectomy; 24-72 hr.) and Group II (late laparoscopic cholecystectomy > 72 hr.) were compared regarding peri-operative complications, conversion rate and duration of hospital stay
Results: In the early (Group Ι), there were 34 patients, with a male : female =1:3 while in the late (Group II) there were also 34 patients and M:F=1:1.2. The average age of both groups was 45 years. The rate of perioperative complication was lower in Group Ι compared with Group II. In contrast with a conversion rate of 8(11.7%) in Group II, there was no conversion rate in Group Ι. The mean duration of hospital stay in Group II was significantly higher than in Group Ι.
Conclusion: A favorable outcome is expected when laparoscopic cholecystectomy is performed as early as possible (within 72 hours after ERCP).
Copyright (c) 2013 Iraqi Medical Journal
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Share — copy and redistribute the material in any medium or format
Under the following terms:
-
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
-
NonCommercial — You may not use the material for commercial purposes.
-
NoDerivatives — If you remix, transform, or build upon the material, you may not distribute the modified material.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
