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conferenceseries
.com
Volume 8
Surgery: Current Research Open Access
Surgery Asia Pacific 2018
August 17-18, 2018
August 17-18, 2018 Singapore
12
th
International Conference on
Surgery and Anesthesia
Gouda El-Labban, Surgery Curr Res 2018, Volume 8
DOI: 10.4172/2161-1076-C3-041
The effect of time interval between endoscopic retrograde cholangiopancreaticography and laparoscopic
cholecystectomy
Gouda El-Labban
Suez Canal University, Egypt
Introduction & Aim:
The appropriate time for Laparoscopic Cholecystectomy (LC) following Endoscopic Retrograde
Cholangiopancreaticography (ERCP) in patients with obstructive choledocholithiasis is controversial. We aim to compare
early versus delayed LC after ERCP in patients with calcular obstructive jaundice as regards conversion rate, postoperative
morbidity and hospital stay.
Method:
This study was conducted on 124 patients who underwent LC after ERCP due to calcular obstructive jaundice.
Patients were randomly classified to two groups; in the first group (early group, n=62) LC was performed within 72 hours after
ERCP, while in the second group (delayed group, n=62) LC was performed after 6 weeks.
Result:
Conversion to open cholecystectomy was significantly more incident when LC was delayed for more than 6 weeks after
ERCP (22.6% in delayed group versus 6.5% in early group). The duration of surgery and the postoperative hospital stay in the
early group was significantly shorter than that of the delayed group (42.3±10.6 minutes versus 72.2±16.8 minutes and 1.1±1.9
day versus 3.5±1.2 days, respectively). No statistically significant difference was found between both groups as regarding the
postoperative morbidity.
Conclusion:
Performing LCas early as possible (within 72 hours after ERCP) lowers the conversion rate to open cholecystectomy
thus decreasing the anticipated postoperative morbidity and prolonged hospital stay.
Biography
Gouda El-Labban is currently the Professor of Surgery. He has completed his PhD from the University of Birmingham UK in Hepatobiliary Surgery. He previously
served as Head of the Emergency medicine Department at Suez Canal University Hospital. He served as a member in a major international project funded by the
European Commission in Medical Informatics. Throughout his career, he has published many research studies in international journals and conferences. Part of
his professional service is reviewing manuscripts and proposals for international journals with high impact factors, in addition to coordinating many conferences of
Surgery and Laparoscopy. His main research interests are Hepatobiliary and Laparoscopic Surgery. His work at the SCU Hospital involves teaching undergraduate
and postgraduate students and training postgraduates on operative maneuvers.
ellabbang@yahoo.com