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    • Laparoscopic Cholecystectomy following ERCP in One Day: A Retrospective Study

    Maged Rihan, MD, MRCS
    Department of General Surgery, Faculty of Medicine, Cairo University

    Endoscopic retrograde cholangiopancreatography (ERCP) followed by laparoscopic cholecystectomy represents the preferred treatment approach in patients with common bile duct (CBD) stones. However, the best time interval between ERCP and laparoscopic cholecystectomy is a matter of controversy. The aim of this study is to evaluate the one day approach for those patients regarding the clinical results and complications. This is a retrospective study of 32 patients diagnosed as having gall bladder and common bile duct stones. The patients included 19 males and 13 females with 49 years old as a mean age (range 32- 73). ERCP and laparoscopic cholecystectomy were done for them in the same day with less than three hours as time interval between the two procedures. Twenty eight patients (88%) were managed successfully without complications. It is concluded that ERCP followed by laparoscopic cholecystectomy as one day approach for management of patients with gall bladder and CBD stones is safe with a low risk of complications. Keywords: Common bile duct stones, Laparoscopic cholecystectomy, Endoscopic retrograde cholangiopancreatography. 

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