THE EFFECT OF TIME INTERVAL BETWEEN ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATICOGRAPHY AND LAPAROSCOPIC CHOLECYSTECTOMY

Document Type : Original Article

Authors

1 Department of General Surgery, Faculty of Medicine, Suez Canal University, Egypt

2 Department of medicine, Faculty of Medicine, Suez Canal University, Egypt

Abstract

Aim: The appropriate time for laparoscopic cholecystectomy (LC) following endoscopic retrograde 
cholangiopancreaticography (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 that 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 LC as 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.

Keywords

The Egyptian Journal of Surgery
Volume 30, Issue 1
January 2011
Pages 28-33

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