Early Versus Late Cholecystectomy After Clearance of Common Bile Duct Stones by Endoscopic Retrograde Cholangiopancreatography: A Prospective Randomized Study
| Autor: | Mohamed Youssef, Hussein Talaat, Helmy Ezzet, Hosam Hamed, Ehab El Hanafy, Ehab Atef, Ayman El Nakeeb, Waleed Askar, Emad Hamdy, Talaat Abdallah |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Blood Loss Surgical Gallstones Time-to-Treatment Young Adult 03 medical and health sciences 0302 clinical medicine Recurrence medicine Humans Prospective Studies Prospective cohort study Aged Cholangiopancreatography Endoscopic Retrograde Postoperative Care Endoscopic retrograde cholangiopancreatography Common bile duct medicine.diagnostic_test business.industry General surgery Gallbladder Length of Stay Middle Aged medicine.disease Conversion to Open Surgery Surgery Choledocholithiasis Treatment Outcome medicine.anatomical_structure Cholecystectomy Laparoscopic 030220 oncology & carcinogenesis Concomitant Cystic duct Female 030211 gastroenterology & hepatology Cholecystectomy business |
| Zdroj: | Surgical Laparoscopy, Endoscopy & Percutaneous Techniques. 26:202-207 |
| ISSN: | 1530-4515 |
| DOI: | 10.1097/sle.0000000000000265 |
| Popis: | Introduction The time interval between endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC) is a matter of debate. This study was planned to compare early LC versus late LC. Patients and methods This is a prospective randomized study on patients who are presented with concomitant gallbladder and common bile duct stone. The study population was divided into two groups; group (A) managed by early LC within three days after ERCP; and group (B) managed by late LC one month after ERCP. Results No significant difference between both groups as regards the conversion rate, the degree of adhesion, cystic duct diameter, and intraoperative common bile duct injury or bleeding. Recurrent biliary symptoms were significantly more in delayed LC group in 7 (12.71%) patient versus 1 patient in early LC (P=0.03). Conclusions No significant difference between both groups as regards the conversion rate. Recurrent biliary symptoms were significantly more in delayed LC while waiting LC. Morbidity was significantly more in delayed LC. |
| Databáze: | OpenAIRE |
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