The effect of previous endoscopic retrograde cholangiopancreatography on subsequent laparoscopic cholecystectomy: The retrospective analysis of 1500 patients.

IF 1 4区医学 Q3 SURGERY

Journal of Minimal Access Surgery Pub Date : 2024-01-09 DOI:10.4103/jmas.jmas_217_23

Balli Emre, Bilgi Kirmaci Mehlika, Aydin Metehan, Ugurlu Esat Taylan, Yilmaz Sezgin

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引用次数: 0

Abstract

Introduction: Laparoscopic cholecystectomy (LC) is the gold standard for patients with acute cholecystitis at early period. However, 15%-20% of patients with acute cholecystitis develop obstructive jaundice, cholangitis and bile duct stones ultimately requiring endoscopic retrograde cholangiopancreatography (ERCP). In such cases, a two-session approach is usually recommended, first ERCP followed by LC thereafter. However, the effect of prior ERCP on the difficulty of subsequent LC is unknown. Hence, the aim of the present study is to determine the effects of previous ERCP on the results of LC.

Patients and methods: In this study, the files of 1500 patients who underwent LC were reviewed retrospectively. The patients were divided into three groups (500 patients for each group). The patients undergoing LC for asymptomatic cholelithiasis were assigned to the L-e group. The patients who underwent LC for acute cholecystitis were assigned to the L-c group. The patients with acute cholecystitis who underwent ERCP first and then LC were assigned to the L-ercp group. The rates of conversion to open cholecystectomy, operation times, complication rates and hospital stays of the three groups were compared.

Results: The results of LC performed after ERCP are similar to the results of LC for cholecystitis without ERCP in terms of operation time, hospital stay, conversion and complications.

Conclusions: Previous ERCP does not affect the safety and effectiveness of early LC in patients with acute cholecystitis.

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前次内镜逆行胰胆管造影对后续腹腔镜胆囊切除术的影响：对1500例患者的回顾性分析。

导言：腹腔镜胆囊切除术（LC）是早期急性胆囊炎患者的金标准。然而，15%-20% 的急性胆囊炎患者会出现梗阻性黄疸、胆管炎和胆管结石，最终需要进行内镜逆行胰胆管造影术（ERCP）。在这种情况下，通常建议采用两次治疗方法，先进行 ERCP，然后再进行 LC。然而，先行ERCP对后续LC难度的影响尚不清楚。因此，本研究旨在确定之前的 ERCP 对 LC 结果的影响：本研究对 1500 名接受 LC 的患者的档案进行了回顾性审查。患者分为三组（每组 500 人）。因无症状胆石症而接受 LC 的患者被分配到 L-e 组。因急性胆囊炎接受胆囊切除术的患者被分为 L-c 组。急性胆囊炎患者先接受ERCP再接受LC治疗的被归为L-ercp组。比较三组患者转为开腹胆囊切除术的比例、手术时间、并发症发生率和住院时间：结果：在ERCP后进行LC的结果与未进行ERCP的胆囊炎LC的结果在手术时间、住院时间、转为开腹胆囊切除术和并发症方面相似：结论：急性胆囊炎患者既往接受过ERCP并不会影响早期LC的安全性和有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Minimal Access Surgery SURGERY-

CiteScore

1.70

自引率

0.00%

发文量

151

审稿时长

36 weeks

期刊介绍： Journal of Minimal Access Surgery (JMAS), the official publication of Indian Association of Gastrointestinal Endo Surgeons, launched in early 2005. The JMAS, a quarterly publication, is the first English-language journal from India, as also from this part of the world, dedicated to Minimal Access Surgery. The JMAS boasts an outstanding editorial board comprising of Indian and international experts in the field.