ERCP Following Laparoscopic Cholecystectomy: A Safe and Effective way to Manage CBD Stones and Complications

摘要

The efficacy of ERCP in detecting and treating post-laparoscopic cholecystectomy problems wasexamined in a series of consecutive patients undergoing directed examination of the biliary tree over atwo-year period. Three major diagnostic groups were identified: leaks and bile duct injuries (n= 9),retained common bile duct stones (n= 18), and post-cholecystectomy pain (n= 13). These diagnosticgroups differed in degree of abnormal bilirubin (p= .004) and time between surgery and ERCP(p= .0005). Diagnosis of a post-operative complication was successful in 92% of attempted cases.Therapy was successful in 92% of attempted cases. Three patients developed mild pancreatitis as aresult of ERCP. This series underscores the efficacy of a multi-disciplinary approach to problemswhich occur after laparoscopic cholecystectomy.