Retrospective study of 350 patients of interval laparoscopic cholecystectomy after endoscopic retrograde cholangiopancreaticography (ERCP) with Sphincterotomy

Dr GURPREMJIT SINGH; Dr YASHWANT SINGH RATHORE; Dr DEVENDER SINGH; Dr SANDEEP JAIN

Volume : VII, Issue : XI, November - 2018

Retrospective study of 350 patients of interval laparoscopic cholecystectomy after endoscopic retrograde cholangiopancreaticography (ERCP) with Sphincterotomy

Dr Gurpremjit Singh, Dr Yashwant Singh Rathore, Dr Devender Singh, Dr Sandeep Jain

Abstract :

Introduction:

Laparoscopic cholecystectomy after successful endoscopic retrograde cholangiopancreaticography with sphincterotomy is standard management for choledocholithiasis. Interval laparoscopic cholecystectomy in this group of patients can be performed without higher complications and conversion rate.

Methods:

A total data of 350 patients post ERCP with sphincterotomy was analysed from Jan 2010 to Dec 2016. Various characteristics were analysed and all patients underwent standard laparoscopic cholecystectomy after six weeks of post ERCP by experienced laparoscopic surgeons.

Results:

7.1% patients had mild pain abdomen post ERCP. 1.1% patients had moderate to severe pain requiring repeat ERCP for common bile duct clearance. 8.6% patients required more than two attempts of ERCP for bile duct clearance. 61 patients (17.4%) had intra operative complications. 5 patients (1.4%) required subtotal cholecystectomy.6 patients (1.7%) required laparoscopic partial cholecystectomy. 32 patients (9.14%) required conversion to open cholecystectomy. 23 patients (6.6%) developed post–operative complications.

Conclusion:

Interval laparoscopic cholecystectomy after 6 weeks of post ERCP can be performed without higher complications and conversion rate when performed by experienced laparoscopic surgeons.