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- W2891869025 abstract "Background: Laparoscopic cholecystectomy is the standard care for symptomatic gall stone disease. Although open cholecystectomy has a longer convalescence it is considered a safe approach when difficulties are encountered in laparoscopic surgery. Several studies have shown multiple risk factors for conversion but data on pre operative ERCP is scarce worldwide. Methods: Retrospective analysis on laparoscopic (LC) and laparoscopy converted to open (LCOC) cholecystectomies were done (2014–2016). Analysis was done using SPSS version 20.0. Results: One hundred and thirty one LC and 69 LCOC were done with a conversion rate of 36.4% (total – 206). Majority were females (76%). Mean age was 47 years (range 16–80). Demographic data and surgical factors are comparable in both groups. Main indications for surgery were biliary colic (44%), calculus cholecystitis (24%), choledocolithiasis (17%), gall stone pancreatitis (7%). All patients with choledocolithiasis underwent ERCP prior to cholecystectomy. 56% percent and 6.9% had ERCP pre operatively in LCOC and LC group respectively (OR – 13.9, 95% CI 5.8–32.9). ERCP with common bile duct stenting (11%) had no significant correlation with the conversion. Mean duration after ERCP to surgery was 20.3 weeks (range-2-48 weeks) in LCOC group. Conclusion: ERCP is a significant risk factor for conversion according to our data which could have contributed to the higher conversion rate. Post ERCP patients should be informed about the higher risk of conversion and the surgery should be performed by an experienced surgeon to minimize the risk." @default.
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- W2891869025 date "2018-03-01" @default.
- W2891869025 modified "2023-10-17" @default.
- W2891869025 title "Is endoscopic retrograde cholangio pancreatography (ERCP) a risk factor for conversion of laparoscopic cholecystectomy? – experience of a tertiary care hepatobiliary referral centre" @default.
- W2891869025 doi "https://doi.org/10.1016/j.hpb.2018.02.554" @default.
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