Effects of the timing of laparoscopic cholecystectomy after endoscopic retrograde cholangiopancreatography on liver, bile, and inflammatory indices and cholecysto-choledocholithiasis patient prognoses

Abstract

Gao MJ, Jiang ZL. Effects of the timing of laparoscopic cholecystectomy after endoscopic retrograde cholangiopancreatography on liver, bile, and inflammatory indices and cholecysto-choledocholithiasis patient prognoses. Clinics (Sao Paulo).

Comparison of different time intervals between laparoscopic cholecystectomy to endoscopic retrograde cholangiopancreatography for patients with cholecystolithiasis complicated by choledocholithiasis

“…reported that performing LC within one to three days of ERCP was associated with a lower complication rate as compared with LC done four days or later. They also found that performing LC within one to three days of ERCP shortened the operative time ( 7 , 11 ). Borreca et al .…”

“…and Gao et al . , operative time was significantly longer in patients receiving LC four days or later after ERCP ( 7 , 11 ). These results indicate that LC should be done within three days after ERCP.…”

“…Aziret et al, and Gao et al reported that performing LC within one to three days of ERCP was associated with a lower complication rate as compared with LC done four days or later. They also found that performing LC within one to three days of ERCP shortened the operative time (7,11). Borreca et al, Wild et al, and Trejo-Avila et al suggested performing LC within 24 h post-ERCP so that hospitalization could be significantly shortened (10,13,15).…”

“…However, the suitable interval time from ERCP to LC is still controversial and varies from hours to more than 6 weeks (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17). It has been reported that delayed LC results in more morbidity and recurrent biliary symptoms (12).…”

Preoperative risk score to predict subtotal cholecystectomy after gallbladder drainage for acute cholecystitis: Secondary analysis of data from a multi‐institutional retrospective study (CSGO‐HBP‐017B)

“…Several studies have suggested that preoperative endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic extraction of CBDS might increase the risk of pancreatitis, cholecystitis, and cholangitis after treatment and cause inflammation around the CBD, which renders dissection of Calot's triangle to be more difficult. [19][20][21][22][23][24] Inflammation around the CBD could also lead to dysfunction of the sphincter of Oddi and could cause bacterial colonization into the bile duct and infection of the hepatoduodenal ligament. Some previous studies have reported that preoperative ERCP could be a strong predictor of conversion of LC to open surgery.…”