Year 2019 / Volume 111 / Number 6
Original
Readmission rates after laparoscopic cholecystectomy: are they affected by ERCP prior to surgery?

460-466

DOI: 10.17235/reed.2019.6021/2018

Raquel Latorre Fragua, Alba Manuel Vázquez, Carmen Ramiro Pérez, Aníbal Armando Medina Velasco, Aylhin López Marcano, Vladimir Arteaga Peralta, Roberto de la Plaza Llamas, José Manuel Ramia Ángel,

Abstract
Aim: the aim of this study was to assess the reasons for and the time of hospital readmissions after cholecystectomy, according to whether an endoscopic retrograde cholangiopancreatography (ERCP) was performed. Method: all patients that underwent cholecystectomy at the Service of Digestive Diseases and General Surgery of the Hospital Universitario de Guadalajara between January 2011 and December 2016 were retrospectively reviewed. Patients who underwent cholecystectomy and were readmitted to any hospital service within 90 days of surgery were included. The following cases were excluded: patients that underwent cholecystectomy in combination with other procedures, an active oncological pathology at the time of cholecystectomy, admissions previously scheduled for another unrelated pathology and those with tumor histology in the cholecystectomy specimen. Results: of a total of 1,714 patients, 80 were readmitted within 90 days of discharge after cholecystectomy, which equates to a readmission rate of 4.6%. The performance of an ERCP prior to surgery was associated with an increase in postoperative morbidity (40% vs 21.54%). A prior ERCP reduced the rate of biliary complications during the 90 days after cholecystectomy. Furthermore, there was an increase in the number of days prior to readmission in these cases, with a mean period of 22 days with ERCP vs seven days without ERCP. Conclusion: patients in our series who required an ERCP prior to cholecystectomy had a greater postoperative morbidity. However, those that did not require ERCP had more biliary complications and were readmitted earlier.
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Latorre Fragua R, Manuel Vázquez A, Ramiro Pérez C, Medina Velasco A, López Marcano A, Arteaga Peralta V, et all. Readmission rates after laparoscopic cholecystectomy: are they affected by ERCP prior to surgery?. 6021/2018


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Publication history

Received: 01/11/2018

Accepted: 06/01/2019

Online First: 29/05/2019

Published: 07/06/2019

Article revision time: 62 days

Article Online First time: 209 days

Article editing time: 218 days


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