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New Indian Journal of Surgery

Volume  10, Issue 6, November-December 2019, Pages 587-591
 

Original Article

Early Vs Delayed Laparoscopic Cholecystectomy after Management of Choledocholithiasis with ERCP: A Comparative Institutional Experience

Pavan Madhukar Bhat1, Dinesh BV2

1Junior Resident, 2Associate Professor, Department of General Surgery, Kasturba Medical College, Manipal, Karnataka 576104, India.

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.10619.5

Abstract

In the current age and day of expertise the widespread cross-section of clinicians, an encounter with choledocholithiasis is usually dealt with in the following 2-step process. The patient is subjected to an ERCP which includes a sphincteromy followed by one of many methods of extracting gall stones from the CBD. In this study, we have compared the timing of cholecystectomy following ERCP in many aspects Such as, duration of surgery, chances of conversion to open surgery, subtotal cholecystectomy, and duration of hospital stay, postoperative morbidity and mortality. Performing laparoscopic cholecystectomy within index admission is beneficial to the surgeon in terms of operation time, chances of encountering adhesions, and chances of conversion to open cholecystectomy.

Keywords: Endoscopic retrograde chalangio pancreatography; Early vs delayed laparoscopic cholecystectomy; Choledocholithiasis; Cholangitis.


Corresponding Author : Dinesh BV