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العنوان
Early Versus Delayed Laparoscopic Cholecystectomy after Endoscopic Retrograde Cholangiopancreatography in Case of Calcular Obstructive Jaundice /
المؤلف
Kamel, Mohamed Khalaf Allah.
هيئة الاعداد
باحث / Mohamed Khalaf Allah Kamel
مشرف / Mostafa Nagy Ahmed EI-Sanadiki
مشرف / Mohamed Ashraf Ahmed Wagdi
مشرف / Tohamy Abd allah Tohamy
الموضوع
Cholecystectomy. Laparoscopic surgery. Cholecystectomy.
تاريخ النشر
2012.
عدد الصفحات
117 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/1/2012
مكان الإجازة
جامعة المنيا - كلية الطب - General Surgery
الفهرس
Only 14 pages are availabe for public view

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from 129

Abstract

~equential ERCP and then laparoscopic cholecystectomy became the gold dard in the management of calcular obstructive jaundice.
The time interval between ERCP and LC is a matter of debate. Some spective and other prospective studies have investigated this issue without p clue or definite conclusion. The interval usually varies from days to onths. It is widely accepted to operate early, within a short time following Rep, but the exact time is not clear. The influence of timing is thought to be e to possible inflammation during ERCP that caused by bile duct
.annulation, contrast agent infusion and sphincterotomy.
For this, in our study, we chose to operate in 40 patients with calcular obstructive jaundice who underwent successful ERCP we categorize them In two groups
Group 1: 20 patients underwent early laparoscopic cholecystectomy. (within 1 week)
Group 2:20 patientsunderwent delayed laparoscopic cholecystectomy. (After 4 week).
In this study we found that early laparoscopic cholecystectomy was associated with lower conversion rate to open cholecystectomy, shorter hospital.