Laparoscopic cholecystectomy after endoscopic treatment of choledocholithiasis: a retrospective comparative study

Trejo-Ávila, Mario; Solórzano-Vicuña, Danilo; García-Corral, Ricardo; Bada-Yllán, Orlando; Cuendis-Velázquez, Adolfo; Délano-Alonso, Roberto; Herrera-Esquivel, J.J.; Valenzuela-Salazar, Carlos

doi:10.1007/s13304-019-00624-5

Cited by 13 publications

(17 citation statements)

References 24 publications

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“…In fact, there was a lower rate of complications when LC was performed early as well as a lesser conversion rate to open cholecystectomy. [11][12][13][14] Thus, performing early cholecystectomy should be achievable and safe and will decrease the rate of recurrence of AC as well as other gallstone related pathologies.…”

Section: Discussionmentioning

confidence: 99%

Impact of early cholecystectomy on the readmission rate in patients with acute gallstone cholangitis: a retrospective single-centre study

Hoilat

Abu‐Zaid

et al. 2021

BMJ Open Gastroenterol

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Background and aimsThe pathogenesis of acute cholangitis (AC) occurs with biliary obstruction followed by bacterial growth in the bile duct. The leading cause of AC is obstructing gallstones. There have been conflicting theories about the optimal timing for cholecystectomy following AC. The aim of this study is to assess the impact of early cholecystectomy on the 30-day readmission rate, 30-day mortality, 90-day readmission rate and the length of hospital stay.MethodsThis retrospective study was performed between January 2015 and January 2021 in a high-volume tertiary referral teaching hospital. Included patients were 18 years or older with a definitive diagnosis of acute gallstone cholangitis who underwent endoscopic retrograde cholangiopancreatography (ERCP) with complete clearance of the bile duct as an index procedure. We divided the patients into two groups: patients who underwent ERCP alone and those who underwent ERCP with laparoscopic cholecystectomy (LC) on the same admission (ERCP+LC). Data were extracted from electronic medical records. The primary endpoint of the study was the 30-day readmission rate.ResultsA total of 114 patients with AC met the inclusion criteria of the study. The ERCP+LC group had significantly lower rates of 30-day readmission (2.2% vs 42.6%, p<0.001), 90-day readmission (2.2% vs 30.9%, p<0.001) and 30-day mortality (2.2% vs 16.2%, p=0.017) when compared with the ERCP group. In a multivariate logistic regression analysis, patients in the ERCP+LC group had 90% lower odds of 30-day readmission compared with patients who did not undergo LC during admission (OR=0.1, 95% CI (0.032 to 0.313), p<0.001).ConclusionPerforming LC on same day admission was associated with a decrease in 30-day and 90-day readmission rate as well as 30-day mortality.

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Section: Discussionmentioning

confidence: 99%

Impact of early cholecystectomy on the readmission rate in patients with acute gallstone cholangitis: a retrospective single-centre study

Hoilat

Abu‐Zaid

et al. 2021

BMJ Open Gastroenterol

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“…[ 2 ] At present, for patients with choledocholithiasis and gallstones or cholecystitis, procedures are recommended for both disorders. [ 9 , 15 , 16 ] However, there is no consensus on the interval between CBD and gallbladder surgery. After anti-infection and CBD stone removal, the patient’s clinical manifestations such as jaundice, fever, nausea, and abdominal pain were significantly relieved or even disappeared, which led many patients to dismiss the problem of gallstones and be reluctant to continue gallbladder surgery.…”

Section: Discussionmentioning

confidence: 99%

A retrospective cohort study on the optimal interval between endoscopic retrograde cholangiopancreatography and laparoscopic cholecystectomy

et al. 2022

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Endoscopic retrograde cholangiopancreatography (ERCP) and laparoscopic cholecystectomy (LC) are the most important procedures for patients with choledocholithiasis and gallstones. Many studies recommend early LC after ERCP; however, there is still no consensus on the optimal interval between the two. The purpose of this study was to investigate the appropriate timing of LC after ERCP in patients with choledocholithiasis and cholecystolithiasis.We retrospectively reviewed all ERCPs in our institution from November 2014 to August 2021. All eligible 261 patients were divided into ERCP-LC1 (≤3 days), ERCP-LC2 (3-7 days), and ERCP-LC3 (>7 days). We also reviewed 90 patients with elective LC as the LC group. Procedures, treatment outcomes, and postoperative adverse events were evaluated.In a total of 1642 ERCPs, 261 eligible patients were divided into ERCP-LC1 (n = 102), ERCP-LC2 (n = 113), and ERCP-LC3 (n = 46). The ERCP-LC groups had no difference in operation time, postoperative adverse events, and open conversion rate with the LC group, but the total hospital stay and hospital stay after LC were longer than the LC group. There were no differences between the ERCP-LC groups in operation time, hospital stay after LC, open conversion rate, postoperative adverse events, and efficacy. However, LC within 7 days and even 3 days after ERCP had significant advantages in improvement in total length of stay and medical expenses. Furthermore, we also found an increased risk of gallbladder gangrene and perforation in LC >7 days after ERCP.LC within 7 days and even 3 days after ERCP is a safe, effective, and economical method for patients with choledocholithiasis and gallstones.

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“…The worst period, when looking at the same variables, is 4 to 30 days after ERCP. (9,10) ❚ CONCLUSION…”

Section: Discussionmentioning

confidence: 99%

“…Lower-risk patients can undergo laparoscopic cholecystectomy with cholangiography and laparoscopic exploration of the common bile duct, depending on the surgeon's skills and the equipment available at the hospital. (7)(8)(9)(10)(11)(12) Usually, if choledocholithiasis is identified but not removed during cholecystectomy, a subsequent ERCP is required for extraction of the stones. (13,14) Cholecystectomy must be performed safely, and inflammation resulting from the disease itself and manipulation during ERCP can hinder the surgery, increasing the operative time, the risk of bleeding and the conversion rate when compared with elective cholecystectomy without previous ERCP.…”

Section: ❚ Introductionmentioning

confidence: 99%

During which period should we avoid cholecystectomy in patients who underwent endoscopic retrograde cholangiopancreatography?

Fávaro¹,

Moran²,

Iamarino³

et al. 2020

Einstein (São Paulo)

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Laparoscopic cholecystectomy after endoscopic treatment of choledocholithiasis: a retrospective comparative study

Cited by 13 publications

References 24 publications

Impact of early cholecystectomy on the readmission rate in patients with acute gallstone cholangitis: a retrospective single-centre study

Impact of early cholecystectomy on the readmission rate in patients with acute gallstone cholangitis: a retrospective single-centre study

A retrospective cohort study on the optimal interval between endoscopic retrograde cholangiopancreatography and laparoscopic cholecystectomy

During which period should we avoid cholecystectomy in patients who underwent endoscopic retrograde cholangiopancreatography?

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