ERCP following laparoscopic cholecystectomy: a safe and effective way to manage CBD stones and complications

HPB Surg. 1995 Jun;8(3):187-92. doi: 10.1155/1995/58905.

Abstract

The efficacy of ERCP in detecting and treating post-laparoscopic cholecystectomy problems was examined in a series of consecutive patients undergoing directed examination of the biliary tree over a two-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 diagnostic groups 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 a result of ERCP. This series underscores the efficacy of a multi-disciplinary approach to problems which occur after laparoscopic cholecystectomy.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Bile Ducts / injuries
  • Cholangiopancreatography, Endoscopic Retrograde* / adverse effects
  • Cholecystectomy, Laparoscopic* / adverse effects
  • Female
  • Gallstones / surgery*
  • Humans
  • Male
  • Middle Aged
  • Pain, Postoperative
  • Postoperative Complications
  • Retrospective Studies