World Journal of Laparoscopic Surgery

Register      Login

VOLUME 7 , ISSUE 2 ( May-August, 2014 ) > List of Articles

RESEARCH ARTICLE

Laparoscopic Cholecystectomy after Endoscopic Retrograde Cholangiopancreatography: The Optimal Timing for Operation

Samir A Ammar, Mohamad Abdel Bar, Mohy El Shafy

Citation Information : Ammar SA, Bar MA, Shafy ME. Laparoscopic Cholecystectomy after Endoscopic Retrograde Cholangiopancreatography: The Optimal Timing for Operation. World J Lap Surg 2014; 7 (2):69-73.

DOI: 10.5005/jp-journals-10033-1220

Published Online: 01-08-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

In patients with choledochocystolithiasis (CCL), early laparoscopic cholecystectomy (LC), within 72 hours, is recommended after endoscopic stone extraction. The objective of this study is to investigate LC for CCL within 24 hours of endoscopic retrograde cholangiopancreatography (ERCP) to determine its feasibility and safety.

Materials and methods

Group I, those patients who had LC within 24 hours after ERCP was compared with group II, those who had LC after 24 hours, but within 72 hours. Primary outcome was the conversion rate from LC to open cholecystectomy. Secondary outcomes were duration of LC, postoperative morbidity and hospital stay.

Results

Of 60 consecutive patients, 31 were in group I and 29 were in group II. There were no differences in groups I vs II in demographics, laboratory or ultrasonographic findings. The hospital stay in group I was significantly shorter than that of group II (2.5 ± 1.5 vs 4 ± 2 days respectively). There was no statistically significant difference in operative time, conversion to open cholecystectomy or postoperative morbidity between both groups.

Conclusion

LC for CCL within 24 hours after ERCP is feasible and safe with short hospital stay.

How to cite this article

Ammar SA, Bar MA, El Shafy M. Laparoscopic Cholecystectomy after Endoscopic Retrograde Cholangiopancreatography: The Optimal Timing for Operation. World J Lap Surg 2014;7(2):69-73.


PDF Share
  1. Guidelines on the management of common bile duct stones (CBDS). Gut 2008;57(7):1004-1021.
  2. Endoscopic retrograde cholangiopancreatography: utilisation and outcomes in a 10-year population-based cohort. BMJ Open 2013;3(5):e002689.
  3. Early laparoscopic cholecystectomy improves outcomes after endoscopic sphincterotomy for choledochocystolithiasis. Gastroenterology 2010;138(7):2315-2320.
  4. The timing of laparoscopic cholecystectomy after endoscopic retrograde cholangiopancreatography in cholelithiasis coexisting with choledocholithiasis. J Hepatobiliary Pancreat Surg 2009;16(6):832-836.
  5. Early laparoscopic cholecystectomy after endoscopic common bile duct stone extraction: the experience from a developing country. Surg Laparosc Endosc Percutan Tech 2011;21(2):120-122.
  6. A same day approach for choledocholithiasis using endoscopic stone removal followed by laparoscopic cholecystectomy: a retrospective study. J Med Assoc Thai 2009;92(1):8-11.
  7. Timing of elective laparoscopic cholecystectomy after endoscopic retrograde cholangiopancreaticography with sphincterotomy: a prospective observational study of 308 patients. Langenbecks Arch Surg 2010;395(6):661-666.
  8. Cholecystectomy deferral in patients with endoscopic sphincterotomy. Cochrane Database Syst Rev 2007(4):CD006233.
  9. Cholecystectomy or gallbladder in situ after endoscopic sphincterotomy and bile duct stone removal in Chinese patients. Gastroenterology 2006;130(1):96-103.
  10. Management of common bile duct stones in the laparoscopic era. Indian J Surg 2012;74(3):264-269.
  11. A prospective study of common bile duct calculi in patients undergoing laparoscopic cholecystectomy: natural history of choledocholithiasis revisited. Ann Surg 2004;239(1):28-33.
  12. Feasibility of laparoscopic common bile duct exploration in a rural centre. ANZ J Surg 2004;74:979-982.
  13. Laparoscopic common bile duct exploration. Surg Endosc 2003;17(11):1705-1715.
  14. An analysis of perioperative cholangiography in one thousand laparoscopic cholecystectomies. Surgery 1997;122(4):817-821.
  15. Epidemiology and natural history of common bile duct stones and prediction of disease. Gastrointest Endosc 2002;56(Suppl 6):S165-S169.
  16. Gallstone disease: epidemiology, pathogenesis, and classification of biliary stones (common bile duct and intrahepatic). Best Pract Res Clin Gastroenterol 2006;20(6):1075-1083.
  17. A prospective randomized trial comparing two-stage vs single-stage management of patients with gallstone disease and common bile duct stones. Surg Endosc 2010;24(8):1986-1989.
  18. Modern approach to cholecysto-choledocholithiasis. World J Gastrointest Endosc 2014;6(2):32-40.
  19. Treatment of common bile duct stones discovered during cholecystectomy. J Gastrointest Surg 2008;12(4):624-628.
  20. Treatment of common bile duct stones in Sweden 1989-2006: an observational nationwide study of a paradigm shift. World J Surg 2012;36(9):2146-2153.
  21. Randomised trial of laparoscopic exploration of common bile duct versus postoperative endoscopic retrograde cholangiography for common bile duct stones. Lancet 1998;351(9057):159-161.
  22. Postoperative ERCP vs laparoscopic choledochotomy for clearance of selected bile duct calculi: a randomized trial. Annals of Surgery 2005;242(2):188-192.
  23. Stones in the common bile duct c clinical features and open surgical approaches and techniques. In: Blumgart LH, editor. Surgery of the liver, bilary tract and pancreas. 4th ed. Philadelphia, Saunders Elsevier 2007;528-547.
  24. Wait-and-see policy or laparoscopic cholecystectomy after endoscopic sphincterotomy for bile-duct stones: a randomised trial. Lancet 2002;360(9335):761-765.
  25. Conversion rate of laparoscopic cholecystectomy after endoscopic retrograde cholangiography in the treatment of choledocholithiasis: does the time interval matter? Surg Endosc 2005;19(7):996-1001.
  26. Preoperative endoscopic sphincterotomy and laparoscopic cholecystectomy for the management of cholecystocholedocholithiasis: 10-year experience. World J Surg 2003;27(2):180-186.
  27. Identification of risk factors for an unfavorable laparoscopic cholecystectomy course after endoscopic retrograde cholangiography in the treatment of choledocholithiasis. Surg Endosc 2010;24(4):798-804.
  28. A nationwide study of conversion from laparoscopic to open cholecystectomy. Am J Surg 2004;188(3):205-211.
  29. Laparoscopic cholecystectomy is more difficult after a previous endoscopic retrograde cholangiography. HPB (Oxford) 2013;15(5):230-234.
  30. Simultaneous assessment of bile from gallbladder and common bile ductin control subjects and patients with gallstones and common duct stones. Arch Surg 1996;131(4):389-394.
  31. Incidence of bactobilia increases over time after endoscopic sphincterotomy. Dig Surg 2011;28:288-292.
  32. Management of preoperatively suspected choledocholithiasis: a decision analysis. J Gastrointest Surg 2008;12(11):1973-1980.
  33. An economic analysis of hospital charges for choledocholithiasis by different treatment strategies. Am Surg 2007;73(5):472-477.
  34. Routine laparoscopic cholecystectomy after endoscopic sphincterotomy for choledocholithiasis in octogenarians: is it worth the risk? Surg Endosc 2007;21(1):41-47.
  35. Immediate laparoscopic cholecystectomy for acute cholecystitis: no need to wait. Am J Surg 2006;192(6):756-761.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.