Pancreatobiliary - Original Article

Early laparoscopic cholecystectomy is associated with less risk of complications after the removal of common bile duct stones by endoscopic retrograde cholangiopancreatography

Volume 30 · Issue 4 Publish Date: July 25, 2019
Mehmet Aziret Kerem Karaman Metin Ercan Erdem Vargöl Bilal Toka Yusuf Arslan Volkan Öter Erdal Birol Bostancı Erkan Parlak
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Published In

Turkish Journal of Gastroenterology

Volume 30 · Issue 4

Pages: 336-344

History

Published Online: July 25, 2019

Copyright © 2019 Mehmet Aziret, Kerem Karaman, Metin Ercan, Erdem Vargöl, Bilal Toka, Yusuf Arslan, Volkan Öter, Erdal Birol Bostancı, Erkan Parlak

Mehmet Aziret
Department of General Surgery Sakarya University Trainig and Research Hospital Sakarya Turkey
Kerem Karaman
Department of General Surgery Sakarya University Trainig and Research Hospital Sakarya Turkey
Metin Ercan
Department of General Surgery Sakarya University Trainig and Research Hospital Sakarya Turkey
Erdem Vargöl
Department of Pathology Sakarya University Trainig and Research Hospital Sakarya Turkey
Bilal Toka
Department of Gastroenterology Sakarya University Training and Research Hospital Sakarya Turkey
Yusuf Arslan
Department of General Surgery Sakarya University Trainig and Research Hospital Sakarya Turkey
Volkan Öter
Department of General Surgery Sakarya University Trainig and Research Hospital Sakarya Turkey
Erdal Birol Bostancı
Department of General Surgery Sakarya University Trainig and Research Hospital Sakarya Turkey
Erkan Parlak
Department of Gastroenterology Hacettepe University School of Medicine Ankara Turkey
Aziret, M., Karaman, K., Ercan, M., Vargöl, E., Toka, B., Arslan, Y., … Parlak, E. (2019). Early laparoscopic cholecystectomy is associated with less risk of complications after the removal of common bile duct stones by endoscopic retrograde cholangiopancreatography. Turkish Journal of Gastroenterology, 30(4), 336–344. https://doi.org/10.5152/tjg.2018.18272
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Abstract

Background/Aims: Several studies recommend prompt laparoscopic cholecystectomy (LC) following endoscopic retrograde cholangiopancreatography (ERCP) for choledocholithiasis. However, histopathological alterations in the gallbladder during this time interval and the role played by ERCP in causing these changes have not been sufficiently elucidated. To compare early period LCs with delayed LCs following common bile duct stone extraction via ERCP with regard to operation time, hospitalization period, conversion to open cholecystectomy rate, morbidity, mortality, and histopathological alterations in the gallbladder wall. Materials and Methods: A total of 85 patients were retrospectively divided into three groups: early period LC group (48-72 h; n=30), moderate period LC group (72 h-6 weeks; n=25), and delayed period LC group (6-8 weeks; n=30). Results: The operation time was significantly shorter, and the total number of complication rates and hospital readmission was significantly less frequent in the early period LC group (p3 mm) in the moderate and late period LC groups than in the early period LC group (pConclusion: Early period LC following stone extraction by ERCP is associated with shorter operation time, fewer fibrotic changes in the gallbladder, and lower risk for the development of complications. Therefore, LC can be performed safely in the early period after ERCP. Cite this article as: Aziret M, Karaman K, Ercan M, et al. Early laparoscopic cholecystectomy is associated with less risk of complications after the removal of common bile duct stones by endoscopic retrograde cholangiopancreatography. Turk J Gastroenterol 2019; 30(4): 336-44.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 30 · Issue 4
Pages 336-344
DOI 10.5152/tjg.2018.18272
History
Published Online July 25, 2019
Copyright
Copyright (c) 2019 Mehmet Aziret, Kerem Karaman, Metin Ercan, Erdem Vargöl, Bilal Toka, Yusuf Arslan, Volkan Öter, Erdal Birol Bostancı, Erkan Parlak
Affiliations
Mehmet Aziret
Department of General Surgery Sakarya University Trainig and Research Hospital Sakarya Turkey
Kerem Karaman
Department of General Surgery Sakarya University Trainig and Research Hospital Sakarya Turkey
Metin Ercan
Department of General Surgery Sakarya University Trainig and Research Hospital Sakarya Turkey
Erdem Vargöl
Department of Pathology Sakarya University Trainig and Research Hospital Sakarya Turkey
Bilal Toka
Department of Gastroenterology Sakarya University Training and Research Hospital Sakarya Turkey
Yusuf Arslan
Department of General Surgery Sakarya University Trainig and Research Hospital Sakarya Turkey
Volkan Öter
Department of General Surgery Sakarya University Trainig and Research Hospital Sakarya Turkey
Erdal Birol Bostancı
Department of General Surgery Sakarya University Trainig and Research Hospital Sakarya Turkey
Erkan Parlak
Department of Gastroenterology Hacettepe University School of Medicine Ankara Turkey
Cite this Article
Aziret, M., Karaman, K., Ercan, M., Vargöl, E., Toka, B., Arslan, Y., … Parlak, E. (2019). Early laparoscopic cholecystectomy is associated with less risk of complications after the removal of common bile duct stones by endoscopic retrograde cholangiopancreatography. Turkish Journal of Gastroenterology, 30(4), 336–344. https://doi.org/10.5152/tjg.2018.18272
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