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Volume 7, Issue 6 (Suppl)
J Gastrointest Dig Syst, an open access journal
ISSN: 2161-069X
Page 62
December 07-08, 2017 Madrid, Spain
&
13
th
International Conference on Clinical Gastroenterology & Hepatology
2
nd
International Conference on Digestive Diseases
CO-ORGANIZED EVENT
The effect of time interval between endoscopic retrograde cholangiopancreatography and laparoscopic
cholecystectomy
Gouda El-Labban
Suez Canal University, Egypt
Aim:
The appropriate time for laparoscopic cholecystectomy (LC) following endoscopic retrograde cholangiopancreatography
(ERCP) in patients with obstructive choledolithiasis is controversial. We aim to compare early versus delayed LC after ERCP in
patients with calcular obstructive jaundice as regards conversion rate, postoperative morbidity and hospital stay.
Methods:
This study was conducted on 124 patients who underwent LC after ERCP due to calcular obstructive jaundice.
Patients were randomly classified to two groups; in the first group (early group, n=62) LC was performed within 72 hours after
ERCP, while in the second group (delayed group, n=62) LC was performed after 6 weeks.
Results:
Conversion to open cholecystectomy was significantly more incident when LC was delayed for more than 6 weeks
after ERCP (22.6% in delayed group versus 6.5% in early group). The duration of surgery and the postoperative hospital
stay in the early group was significantly shorter than that of the delayed group (42.3
±
10.6 minutes versus 72.2
±
16.8 minutes
and 1.1
±
1.9 day versus 3.5
±
1.2 days respectively). No statistically significant difference was found between both groups as
regarding the postoperative morbidity.
Conclusion:
Performing LCas early as possible (within 72 hours after ERCP) lowers the conversion rate to open cholecystectomy
thus decreasing the anticipated postoperative morbidity and prolonged hospital stay.
ellabbang@yahoo.comJ Gastrointest Dig Syst 2017, 7:6(Suppl)
DOI: 10.4172/2161-069X-C1-059