Early Versus Delayed Laparoscopic Cholecystectomy Post Endoscopic Retrograde Cholangio Pancreatography (ERCP)
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چکیده
Background: Endoscopic Retrograde Cholangio Pancreatography (ERCP) is the commonest method for treatment of biliary stones. In our study we compared 2 groups of patients managed with laparoscopic cholecystectomy post ERCP after maximum of 72 hours during same admission and after 28 days. Patients and Methods: The study conducted from January 2012 to January 2015 and included 86 patients; Group I of 41 patients with ERCP followed by laparoscopic cholecystectomy within same admission and Group II of 45 patients with ERCP followed by laparoscopic cholecystectomy after at least 28 days. Results: Group II patients showed more complications and more cases need drain insertion than group I. Mean hospital stay was shorter in Group I. Group II patients showed more cost due to the longer stay in the hospital for investigations and increased the conversion rates to open cholecystectomy. Conclusion: In our study early laparoscopic cholecystectomy following ERCP was cost effective and safe with fewer complications than delayed laparoscopic cholecystectomy in patients with choledocholithiasis.
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