Beta
230455

EARLY VERSUS LATE LAPAROSCOPIC CHOLECYSTECTOMY POST ERCP IN PATIENT WITH CHOLEDOCHOLITHIASIS

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Surgery

Abstract

Background: Ten to fifteen percent of all patients with gall bladder stones presented with CBD stones. Endoscopic Retrograde Cholangiopancreatography (ERCP) is one of the modalities used in biliary tree stones. Many studies revealed that this protocol particularly prior to laparoscopic cholecystectomy (LC). The time interval-between ERCP and LC is a matter of debate. Objective: To evaluate the safety of early over late laparoscopic cholecystectomy post ERCP in patients with choledochocystolithiasis. Patients and Methods: This prospective randomized study was carried out from May 2020 to October 2020 at the Department of General Surgery Al-Azhar University Hospitals, Cairo, Egypt. It included 40 adult patients with cholelithiasis and a possibility of choledocholithiasis who underwent ERCP. ERCP patients were classified into two equal groups: Early group in whom LC was done immediately after ERCP, and  Late group in whom LC was done after 4 weeks. Comparison was applied between the two groups. Results: This study clearly revealed that performing immediate LC post, ERCP in comparison to delayed LC after ERCP had better outcome. It had the lower conversion rate, less operative time, shorter hospital stay, and less postoperative complications. The comparison between two groups revealed that immediate LC post ERCP had the upper hand of the advantages and the least disadvantages rather than the other group. Conclusion: Early LC after ERCP was considered as an adopted policy in the management of the patient with calcular obstructive jaundice.

DOI

10.21608/amj.2022.230455

Keywords

Obstructive jaundice, ERCP, laparoscopic cholycystectomy

Authors

First Name

Mohamed

Last Name

Khaled Abd El-Rahman

MiddleName

-

Affiliation

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

Email

mohasoltan2020@gmail.com

City

-

Orcid

-

First Name

Mohammed

Last Name

Ibrahem El-Anany

MiddleName

-

Affiliation

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

Email

-

City

-

Orcid

-

First Name

Mahmoud

Last Name

Abd El-Hady Abd El-Azeez

MiddleName

-

Affiliation

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

Email

-

City

-

Orcid

-

Volume

51

Article Issue

2

Related Issue

32983

Issue Date

2022-04-01

Receive Date

2022-04-11

Publish Date

2022-04-01

Page Start

871

Page End

878

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_230455.html

Detail API

https://amj.journals.ekb.eg/service?article_code=230455

Order

4

Type

Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

MainTitle

EARLY VERSUS LATE LAPAROSCOPIC CHOLECYSTECTOMY POST ERCP IN PATIENT WITH CHOLEDOCHOLITHIASIS

Details

Type

Article

Created At

22 Jan 2023