الفهرس | Only 14 pages are availabe for public view |
Abstract Gallstones have been recognized since antiquity and have been found during autopsies of Egyptian mummies. Following the first successful open cholecystectomy in 1882, it was Eric Muhe, a German surgeon, who performed the first laparoscopic cholecystectomy in 1985. Purpose To establish the feasibility, complications, and outcome of different time intervals between endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC) in the management of choledocholithiasis. Patients and methods: This study was carried out on 60 patients who were randomized by systematic randomization into two groups according to the interval between ERCP and LC defined as short (3 days) or long (weeks) All patients have undergone ERCP with sphincterotomy followed by elective LC. Patients’ age, sex, history of previous acute cholecystitis, acute pancreatitis and jaundice, abdominal ultrasonography findings, serum bilirubin, alkaline phosphatase, gamma-glutamyl transferase levels, ERCP findings, time interval between ERCP and LC, conversion rate, median operative time, intraoperative complications, hospital stay, and postoperative complication rates were collected. Results There was no statistically significant difference between the demographics of the patients, the preoperative history, laboratory data or ultrasonographic findings in the two groups Conclusion Early cholecystectomy after ERCP within 72 h has better outcomes, probably due to less inflammatory processes following ERCP. |