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• W2893081609 abstract "Background We sought to examine whether preoperative endoscopic retrograde cholangio-pancreatography (ERCP) increases the risk of surgical site infections (SSI) after laparoscopic cholecystectomy. Methods Patients admitted to an academic hospital from 2010 to 2016, who were older than 18 and had a laparoscopic or a laparoscopic converted to open cholecystectomy for complicated biliary tract disease were included. We compared those who had a preoperative ERCP to those who did not. Our primary endpoint was the rate of SSI. Results A total of 640 patients were included. Of them, 122 (19.1%) received preoperative ERCP and 518 (80.9%) did not. The former had different preoperative diagnoses compared to non-ERCP patients (choledocholithiasis [35.2%–7.0%], acute cholecystitis [31.2%–76.4%], gallstone pancreatitis [20.5%–16.2%], and cholangitis [13.1%–0.4%], p < 0.001). The rate of SSI was higher in the preoperative ERCP group (11.5%–4.0%, p = 0.005). In a multivariable analysis conversion to open (OR = 2.57, 95% CI = 1.06–6.21, p = 0.037) and preoperative ERCP (OR = 3.12, 95% CI = 1.34–7.22, p = 0.008) were the only independent predictors of SSI. Conclusion Preoperative ERCP is associated with a threefold increase in the risk of SSI after laparoscopic cholecystectomy." @default.
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• W2893081609 date "2019-07-01" @default.
• W2893081609 modified "2023-10-13" @default.
• W2893081609 title "Preoperative endoscopic retrograde cholangio-pancreatography (ERCP) is a risk factor for surgical site infections after laparoscopic cholecystectomy" @default.
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• W2893081609 doi "https://doi.org/10.1016/j.amjsurg.2018.09.033" @default.
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