A COMPARATIVE STUDY BETWEEN EARLY(<72 HOURS)AND LATE(>72 HOURS) LAPAROSCOPIC CHOLECYSTECTOMY AFTER ERCP FOR CHOLELITHIASIS WITH CHOLEDOCHOLITHIASIS

Dr. Lakshman Agarwal; Dr. Sumita Jain; Dr. Sarsij Kandpal; Dr.Neel Shah; Dr.Prasant Maskara; Dr. Rohit Kumar Rai; Dr.Abhay Sikaria; Dr.Abhishek Krishna

Volume : V, Issue : V, May - 2016

A COMPARATIVE STUDY BETWEEN EARLY(72 HOURS) LAPAROSCOPIC CHOLECYSTECTOMY AFTER ERCP FOR CHOLELITHIASIS WITH CHOLEDOCHOLITHIASIS

Dr. Lakshman Agarwal, Dr. Sumita Jain, Dr. Sarsij Kandpal, Dr. Neel Shah, Dr. Prasant Maskara, Dr. Rohit Kumar Rai, Dr. Abhay Sikaria, Dr. Abhishek Krishna

Abstract :

Endoscopic retrograde cholangio–pancreaticography (ERCP) followed by laparoscopic cholecystectomy comprises the current treatment modality in patients with common bile duct stones. The optimum time interval between Endoscopic retrograde cholangiopancreaticography and laparoscopic cholecystectomy is questionable. A total of 150 patients admitted with uncomplicated cholelithiasis with choledocholithiasis, were included in this study. They were divided randomly by chit pot method in two groups, Group A (75 patients) who underwent laparoscopic cholecystectomy within 72 hours of ERCP, and Group B(75 patients) ,who underwent laparoscopic cholecystectomy atleast more than 72 hours after ERCP. In the present study, mean operative time was significantly higher in group B as compared to group A. Post operative hospital stay was found significantly higher in group B. The longer the time interval between ERCP and laparoscopic cholecystectomy, the higher are the chances of encountering complications and longer is the hospital stay following surgery. Early cholecystectomy (<72 hours) after ERCP is preferred over late (>72 hours) cholecystectomy.