Comparative Study between Early and Delayed Cholecystectomy after Endoscopic Retrograde Cholangiopancreaticography in Mild Gall Stone Pancreatitis

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General Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

Abstract

Background: The most prevalent condition needing hepatobiliary tract surgery is cholelithiasis, which affects 5% to 20% of the population. Common bile duct (CBD) stones are concurrently present in 15% to 20% of individuals with gallstones (GS). Aim and objectives: To compare the outcomes of two groups of patients: one group will undergo laparoscopic cholecystectomy (LC) right after endoscopic retrograde cholangiopancreatography (ERCP) to remove CBD stones, and the other group will undergo LC eight weeks later. Outcomes will be evaluated based on several criteria, including operative difficulty, duration of surgery, hospital stay, complications, and the need for open cholecystectomy if necessary. Patients and methods: This prospective comparison study was conducted at Al-Harm Specialised Hospital and Al-Azhar University Hospitals in Egypt between May 2023 and January 2014. ERCP was performed on ten adult patients (average age of 18) with cholelithiasis, perhaps choledocholithiasis, and moderate acute pancreatitis. Results: The average duration of the operation, rate of conversion, and length of hospital stay are lower in the early group compared to the delayed group. Conclusion: After undergoing ERCP, doing an early LC (laparoscopic cholecystectomy) is more advantageous compared to a delayed cholecystectomy. This is due to several factors, including shorter surgical time, fewer intraoperative challenges, lower likelihood of converting to open cholecystectomy (OC), fewer problems during the time between ERCP and LC, and a shorter hospital stay.

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