Early versus Late Lap Cholecystectomy after ERCP for Calcular Cholecystitis and CBD Stone

Document Type : Original Article

Authors

Department of General Surgery, Faculty of Medicine, Al Zahar University Hospital, Al-Azhar University, Cairo, Egypt.

Abstract

Background: The optimum course of treatment for coexisting choledocholithiasis is endoscopic retrograde cholangiopan-creaticography (ERCP) followed by laparoscopic cholecystectomy (LC). The aim of our study is to compare the early versus late laparoscopic Cholecystectomy after ERCP clearance of CBD stone.
Methods: This study included 50 Patients with cholecyto – choledocholithiasis who were admitted to General Surgery Department of Alzahraa University Hospital during the period from March 2023 to March 2024. The mean operative time, intraoperative complications, hospital stay, postoperative complications, and conversion rates were compared between the two groups.
Results: Fifty patients divided into two equal groups, group A, with simultaneous ERCP and LC and group B with LC at least 6-8 weeks after ERCP. The mean operative time in group A was shorter compared to group B with p value=.0006. hospital stay was shorter in group A compared to group B with p value=0.001. However, group A had statistically significant higher percentage of post-operative pancreatitis. The post-operative complication and conversion rates were almost identical in both the groups.
Conclusion: Performing single-session endoscopic retrograde cholangiopancreatography and laporoscopic cholecystectomy is safe, effective, economically viable and associated with reduced frequency of imaging, and better patient satisfaction.

Keywords

The Egyptian Journal of Surgery
Volume 44, Issue 1
January 2025
Pages 423-427

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