Does endoscopic retrograde cholangiopancreatography have a negative effect on laparoscopic cholecystectomy?
Murat Çakır, Tevfik Küçükkartallar, Ahmet Tekin, Mehmet Aykut Yıldırım, Adil Kartal
Department of General Surgery, Necmettin Erbakan University Meram Faculty of Medicine, Konya, Turkey
Abstract
Objective: We have observed that patients who had undergone endoscopic retrograde cholangiopancreatography (ERCP) had some difficulties with laparoscopic cholecystectomy procedures. Through a retrospective study, we planned to compare the surgical procedures between patients who had undergone ERCP and those who had not in order to clarify this.
Material and Methods: The results of 122 patients who had undergone ERCP because of choledocholithiasis before undergoing laparoscopic cholecystectomy procedures between 2008 and 2011 were compared to the values of 2140 patients operated because of cholelithiasis only within the same period.
Results: Among the patients who underwent surgical procedures following ERCP, 80 (65%) were female and 42 (35%) were male. The average age of the patients was 51.9 years (range: 20-83 years). The operation period after the procedure was 30.14 days (range: 1-93 days). Although the hospitalization period was 4.67 days (range: 1-22 days), the postoperative hospitalization period was 2.68 days (range: 1-15 days). Regarding the difficulty of operation, adhesion in 58 (47.5%) patients, bleeding in two (1.6%) patients, and conversion to open procedure in 12 (9.8) patients were observed. In two (1.6%) patients, bleeding and biliary fistula were the reasons for re-operation.
Conclusion: Laparoscopic cholecystectomy is more complicated in patients who underwent ERCP.
Keywords: Endoscopic retrograde cholangiopancreatography, laparoscopic cholecystectomy, negative effect
Ethics committee approval was not required, since the study was a retrospective study.
Informed patient consent form including their treatment protocol was taken from all patients included in this study.
Externally peer-reviewed.
Concept - A.K.; Design - M.Ç.; Supervision - M.Ç.; Funding - A.Y.; Materials - M.Ç., T.K.; Data Collection and/or Processing - M.Ç., A.T.; Analysis and/or Interpretation - M.Ç.; Literature Review - M.Ç.; Writer - M.Ç.; Critical Review - M.Ç.
No conflict of interest was declared by the authors.
The authors declared that this study has received no financial support.