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Who experiences endoscopic retrograde cholangiopancreatography after laparoscopic cholecystectomy for symptomatic gallstone disease?
Who experiences endoscopic retrograde cholangiopancreatography after laparoscopic cholecystectomy for symptomatic gallstone disease?
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.90 No.6 KCI Accredited Journals SCIE
- 발행연도
- 2016.5
- 수록면
- 309 - 314 (6page)
이용수
Who experiences endoscopic retrograde cholangiopancreatography after laparoscopic cholecystectomy for symptomatic gallstone disease?
초록· 키워드
오류제보하기
Purpose: Laparoscopic cholecystectomy (LC) has become a standard treatment of symptomatic gallstone disease. But, some patients suffer from retained common bile duct stones after LC. The aim of this study is to analyze the predicting factors associated with subsequent postoperative endoscopic retrograde cholangiopancreatography (ERCP) after LC.
Methods: We retrospectively reviewed a database of every LC performed between July 2006 and September 2012. We classify 28 patients who underwent ERCP within 6 months after LC for symptomatic gallstone disease as the ERCP group and 56 patients who underwent LC for symptomatic gallstone disease during same period paired by sex, age, underlying disease, operation history, and body mass index as the control group. To identify risk factor performing postoperative ERCP after LC, we compared admission route, preoperative biochemical liver function test, number of gall stones, gallstone size, adhesion around GB, wall thickening of GB, and existence of acute cholecystitis between the 2 groups.
Results: Admission route, preoperative AST, ALT, and ALP, stone size, longer operation time, and acute cholecystitis were identified as risk factors of postoperative ERCP in univariate analyses. But, longer operation time (P = 0.004) and acute cholecystitis (P = 0.048) were identified as independent risk factors of postoperative ERCP in multivariate analyses.
Conclusion: The patient who underwent ERCP after LC for symptomatic gallstone disease are more likely experienced longer operation time and acute cholecystitis than the patient who did not undergo ERCP after LC.
Methods: We retrospectively reviewed a database of every LC performed between July 2006 and September 2012. We classify 28 patients who underwent ERCP within 6 months after LC for symptomatic gallstone disease as the ERCP group and 56 patients who underwent LC for symptomatic gallstone disease during same period paired by sex, age, underlying disease, operation history, and body mass index as the control group. To identify risk factor performing postoperative ERCP after LC, we compared admission route, preoperative biochemical liver function test, number of gall stones, gallstone size, adhesion around GB, wall thickening of GB, and existence of acute cholecystitis between the 2 groups.
Results: Admission route, preoperative AST, ALT, and ALP, stone size, longer operation time, and acute cholecystitis were identified as risk factors of postoperative ERCP in univariate analyses. But, longer operation time (P = 0.004) and acute cholecystitis (P = 0.048) were identified as independent risk factors of postoperative ERCP in multivariate analyses.
Conclusion: The patient who underwent ERCP after LC for symptomatic gallstone disease are more likely experienced longer operation time and acute cholecystitis than the patient who did not undergo ERCP after LC.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (26)
참고문헌 신청
[학술지(정기간행물)] - Russo MW. / 2004 / Digestive and liver diseases statistics, 2004 / Gastroenterology 126 : 1448 ~ 1453
[학술지(정기간행물)] - Goenka MK. / 1996 / Endoscopic retrograde cholangiopancreatography in postcholecystectomy syndrome / J Assoc Physicians India 44 : 119 ~ 122
[학술지(정기간행물)] - Mergener K. / 1999 / A stone in a grossly dilated cystic duct stump : a rare cause of postcholecystectomy pain / Am J Gastroenterol 94 : 229 ~ 231
[학술지(정기간행물)] - Rogy MA. / 1991 / Reoperation after cholecystectomy. The role of the cystic duct stump / HPB Surg 4 : 129 ~ 134
[학술지(정기간행물)] - Stefanini P. / 1974 / Factors influencing the long term results of cholecystectomy / Surg Gynecol Obstet 139 : 734 ~ 738
[학술지(정기간행물)] - Goenka MK. / 1996 / Endoscopic retrograde cholangiopancreatography in postcholecystectomy syndrome / J Assoc Physicians India 44 : 119 ~ 122
[학술지(정기간행물)] - Mergener K. / 1999 / A stone in a grossly dilated cystic duct stump : a rare cause of postcholecystectomy pain / Am J Gastroenterol 94 : 229 ~ 231
[학술지(정기간행물)] - Rogy MA. / 1991 / Reoperation after cholecystectomy. The role of the cystic duct stump / HPB Surg 4 : 129 ~ 134
[학술지(정기간행물)] - Stefanini P. / 1974 / Factors influencing the long term results of cholecystectomy / Surg Gynecol Obstet 139 : 734 ~ 738
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