Clinical Trial of Early vs Delayed Laparoscopic Cholecystectomy After CBD Stone Clearance

Academia Journal of Surgery

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Field Value
Title Clinical Trial of Early vs Delayed Laparoscopic Cholecystectomy After CBD Stone Clearance
Creator Kumar, Sunesh
Subject Laparoscopic Cholecystectomy
Operative Time
CBD clearance
Description Background: The aim is to compare early vs delayed laparoscopic cholecystectomy after CBD stone clearance. Subjects andMethodology: 68 adult patients who underwent ERCP for concomitant gallstones and CBD stones were divided into 2 groups of 34 each. Group I was early cholecystectomy group underwent surgery within 72 hours of ERCP and in group II, the delayed group underwent surgery after 6 weeks of ERCP. Results: There were 22 males in group I and 20 in group II and 12 females in group I and 14 in group II. In group I and group II, the mean operative time was 46.3 minutes and 67.2 minutes respectively. Nassar scale was grade 1 in 20 and 7, grade 2 was seen in 10 and 4, grade 3 was seen in 3 and 15, grade 4 was seen in 1 and 8 respectively (P< 005). Adhesion grade 1 was seen in 15 and 6, grade 2 was seen in 10 and 8, grade 3 was seen in 5 and 9 and grade 4 was seen in 4 and 11 respectively. Cholecystitis was seen in 26 and 12, dissection difficulty was seen in 8 and 19 and bleeding was seen in 4 and 11 respectively. The mean hospital stay was 32.4 hours sin group I and 40.2 hours in group   II, bac to work was 14.2 days in group I and 17.6 days in group II, pain on numerical rating scale was 4.3 in group I and in group II was 4.9. Fever was present was 2 in group I and 4 in group II and wound complication was present in 1 in group I and 3 in group II. Conclusion: Early laparoscopic cholecystectomy after ERCP is better treatment option as compared to delayed cholecystectomy in terms of less operative time, less intraoperative difficulties.
Publisher Dr. Sanket Hiware, College of Medicine and Health Science, DireDawa University, Ethiopia.
Date 2021-06-20
Type info:eu-repo/semantics/article
Peer-reviewed Article
Format application/pdf
Source Academia Journal of Surgery; Vol 4 No 1 (2021): January-June 2021; 22-25
Language eng
Rights Copyright (c) 2021 Author

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