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Predicting the degree of difficulty of laparoscopic cholecystectomy following endoscopic retrograde cholangiopancreatography- Subgroup analysis does not improve the prediction

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In our practice, we have observed a higher conversion rate (8%) in patients undergoing laparoscopic cholecystectomy (LC) following endoscopic retrograde cholangiopancreatography (ERCP). Similar findings have been reported in the literature.… Click to show full abstract

In our practice, we have observed a higher conversion rate (8%) in patients undergoing laparoscopic cholecystectomy (LC) following endoscopic retrograde cholangiopancreatography (ERCP). Similar findings have been reported in the literature. It remains to be confirmed whether this higher degree of operative difficulty is due to ERCP itself or is secondary to co‐existing gallstone pathologies, namely acute cholecystitis (AC) and pancreatitis. We set out to establish if the indications for ERCP, ERCP‐related factors (number of ERCPs, sphincterotomy, stone retrieval, stent insertion and time between ERCP and LC) and co‐existing gallstone pathologies would affect the degree of difficulty (DoD) of LC following ERCP.

Keywords: difficulty; laparoscopic cholecystectomy; following endoscopic; cholecystectomy following; retrograde cholangiopancreatography; endoscopic retrograde

Journal Title: Journal of Minimal Access Surgery
Year Published: 2018

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