Best Time for Laparoscopic Cholecystectomy Following Endoscopic Sphincterotomy Post Endoscopic Retrograde Cholangiopancreatography: A Prospective Observational Study
Background: Choledocholithiasis occurs in 10–15% of patients with symptomatic gallstones. Stones in the common bile duct ought to be removed to avoid complications like acute pancreatitis and cholangitis. Objective: To estimate the timing of Laparoscopic cholecystectomy after endoscopic sphincte...
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| Format: | Article |
| Language: | English |
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College of medicine/ University of Diyala
2022-06-01
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| Series: | Diyala Journal of Medicine |
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| Online Access: | https://www.djm.uodiyala.edu.iq/index.php/djm/article/view/900 |
| _version_ | 1797530886685589504 |
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| author | Azhy Muhammed Dewana |
| author_facet | Azhy Muhammed Dewana |
| author_sort | Azhy Muhammed Dewana |
| collection | DOAJ |
| description |
Background: Choledocholithiasis occurs in 10–15% of patients with symptomatic gallstones. Stones in the common bile duct ought to be removed to avoid complications like acute pancreatitis and cholangitis.
Objective: To estimate the timing of Laparoscopic cholecystectomy after endoscopic sphincterotomy (post endoscopic retrograde cholangiopancreatography) and its outcomes.
Patients and Methods: A clinical prospective comparative study was done in the Surgical Department of Rizgary Teaching Hospital in Erbil during the period from 1st of January 2019 to 1st of December 2021 on a sample of 50 patients with Common Bile duct stones categorized into two groups; group I (25) patients who underwent laparoscopic cholecystectomy within 72 hours of ERCP (early), while (25) patients with laparoscopic cholecystectomy beyond 3 days (1-6 weeks) of ERCP were included in group II (delayed).
Results: Mean surgical duration for group I patients was significantly shorter than the mean surgical duration for group II patients (p=0.02). The mean hospital stay duration for group I patients was markedly shorter than the mean hospital stay duration for group II patients (p<0.001). There was an obvious association between the two groups regarding wider cystic duct, and intraoperative adhesions.Both findings were found more in group II.
Conclusion: Earlier laparoscopic cholecystectomy after endoscopic retrograde cholangiopancreatography has better intraoperative and postoperative outcomes than delayed laparoscopic cholecystectomy.
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| first_indexed | 2024-03-10T10:35:27Z |
| format | Article |
| id | doaj.art-b02fa88b3bd24ac4bcb2c8f11a5516bf |
| institution | Directory Open Access Journal |
| issn | 2219-9764 2617-8982 |
| language | English |
| last_indexed | 2024-03-10T10:35:27Z |
| publishDate | 2022-06-01 |
| publisher | College of medicine/ University of Diyala |
| record_format | Article |
| series | Diyala Journal of Medicine |
| spelling | doaj.art-b02fa88b3bd24ac4bcb2c8f11a5516bf2023-11-21T23:20:25ZengCollege of medicine/ University of DiyalaDiyala Journal of Medicine2219-97642617-89822022-06-01222Best Time for Laparoscopic Cholecystectomy Following Endoscopic Sphincterotomy Post Endoscopic Retrograde Cholangiopancreatography: A Prospective Observational StudyAzhy Muhammed Dewana Background: Choledocholithiasis occurs in 10–15% of patients with symptomatic gallstones. Stones in the common bile duct ought to be removed to avoid complications like acute pancreatitis and cholangitis. Objective: To estimate the timing of Laparoscopic cholecystectomy after endoscopic sphincterotomy (post endoscopic retrograde cholangiopancreatography) and its outcomes. Patients and Methods: A clinical prospective comparative study was done in the Surgical Department of Rizgary Teaching Hospital in Erbil during the period from 1st of January 2019 to 1st of December 2021 on a sample of 50 patients with Common Bile duct stones categorized into two groups; group I (25) patients who underwent laparoscopic cholecystectomy within 72 hours of ERCP (early), while (25) patients with laparoscopic cholecystectomy beyond 3 days (1-6 weeks) of ERCP were included in group II (delayed). Results: Mean surgical duration for group I patients was significantly shorter than the mean surgical duration for group II patients (p=0.02). The mean hospital stay duration for group I patients was markedly shorter than the mean hospital stay duration for group II patients (p<0.001). There was an obvious association between the two groups regarding wider cystic duct, and intraoperative adhesions.Both findings were found more in group II. Conclusion: Earlier laparoscopic cholecystectomy after endoscopic retrograde cholangiopancreatography has better intraoperative and postoperative outcomes than delayed laparoscopic cholecystectomy. https://www.djm.uodiyala.edu.iq/index.php/djm/article/view/900Gall stones, Obstructive jaundice, endoscopic retrograde cholangiopancreatography |
| spellingShingle | Azhy Muhammed Dewana Best Time for Laparoscopic Cholecystectomy Following Endoscopic Sphincterotomy Post Endoscopic Retrograde Cholangiopancreatography: A Prospective Observational Study Diyala Journal of Medicine Gall stones, Obstructive jaundice, endoscopic retrograde cholangiopancreatography |
| title | Best Time for Laparoscopic Cholecystectomy Following Endoscopic Sphincterotomy Post Endoscopic Retrograde Cholangiopancreatography: A Prospective Observational Study |
| title_full | Best Time for Laparoscopic Cholecystectomy Following Endoscopic Sphincterotomy Post Endoscopic Retrograde Cholangiopancreatography: A Prospective Observational Study |
| title_fullStr | Best Time for Laparoscopic Cholecystectomy Following Endoscopic Sphincterotomy Post Endoscopic Retrograde Cholangiopancreatography: A Prospective Observational Study |
| title_full_unstemmed | Best Time for Laparoscopic Cholecystectomy Following Endoscopic Sphincterotomy Post Endoscopic Retrograde Cholangiopancreatography: A Prospective Observational Study |
| title_short | Best Time for Laparoscopic Cholecystectomy Following Endoscopic Sphincterotomy Post Endoscopic Retrograde Cholangiopancreatography: A Prospective Observational Study |
| title_sort | best time for laparoscopic cholecystectomy following endoscopic sphincterotomy post endoscopic retrograde cholangiopancreatography a prospective observational study |
| topic | Gall stones, Obstructive jaundice, endoscopic retrograde cholangiopancreatography |
| url | https://www.djm.uodiyala.edu.iq/index.php/djm/article/view/900 |
| work_keys_str_mv | AT azhymuhammeddewana besttimeforlaparoscopiccholecystectomyfollowingendoscopicsphincterotomypostendoscopicretrogradecholangiopancreatographyaprospectiveobservationalstudy |