Avtor/Urednik		Grosek, Jan; Petrič, Miha; Plevel, Danaja; Tomažič, Aleš
Naslov		Timing of cholecystectomy after endoscopic retrograde cholangiopancreatography and papillotomy
Tip		članek
Vol. in št.		Letnik 2, št. 1
Leto izdaje		2020
Obseg		str. 23-30
ISSN		2591-2275
Jezik		eng
Abstrakt		Background. Endoscopic retrograde cholangiopancreatogra-phy with endoscopic papillotomy (ERCP/EPT) followed by chol-ecystectomy is a standard treatment for common biliary duct stones. It is unclear, however, what the optimal time interval is between ERCP/EPT and cholecystectomy. The primary aim of our study was to evaluate our current practice, in which patients are mostly operated on 1 to 3 months after ERCP/EPT. The sec-ondary aim was to determine the optimal timing for cholecys-tectomy after ERCP/EPT.Methods. A retrospective analysis of 117 patients that under-went a preoperative ERCP/EPT followed by a cholecystectomy was performed. Associations between demographic character-istics, type and duration of operation, conversion rate, post-operative complications, and interval time were tested using multiple linear regression. The optimal interval was studied by drawing a receiver operating curve and studying the area under curve.Results. The time interval between cholecystectomy and ERCP/EPT was not associated with the number of conversions to open surgery, duration of the operation, or postoperative complica-tions. There was no statistically significant association between any independent variable and time interval. No threshold inter-val could be found that would discriminate between whether a patient had a conversion or postoperative complications or not.Conclusion. Our current practice is safe because the time inter-val in our study does not affect the rate of conversions, postop-erative complications, or operation duration. Based on the re-sults of our study, no recommendations regarding the optimal time for surgery can be given.
Proste vsebinske oznake		choledocholithiasis endoscopic retrograde cholangiopancreatography endoscopic papillotomy holedokolitijaza endoskopska retrogradna holangiopankreatografija endoskopska papilotomija