الفهرس | Only 14 pages are availabe for public view |
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. |