Rodríguez-Mata EA, Gutiérrez-Cerda M, Anguiano-Landa L, González-Zorrilla F, Rodarte-Shade M, Orviz-Ortiz PM, Robles-Zavaleta R, Muñiz-Eguía JJ

Language: Spanish
References: 17
Page: 18-24
PDF size: 251.26 Kb.

ABSTRACT

Introduction: early cholecystectomy after endoscopic retrograde cholangiopancreatography (ERCP) is the standard of care in patients with high-risk choledocholithiasis. However, its safety and factors influencing conversion to open surgery and complications remain under discussion. Objective: to evaluate the success and complications of early cholecystectomy after ERCP in patients with choledocholithiasis in a secondary care hospital. Material and methods: observational, retrospective, cross-sectional, and analytical study. Patients undergoing early cholecystectomy (≤ 72 h) after ERCP between March 2022 and March 2024 were included. Demographic, clinical, and surgical variables were collected. ANOVA, Kruskal-Wallis, χ², and Fisher's exact tests were applied, as well as binary logistic regression. Results: a total of 90 patients were analyzed, 75% women, mean age 40.7 ± 18.8 years. The main diagnosis was choledocholithiasis (56.7%). ERCP success rate was 93.3%. Laparoscopic cholecystectomy was performed in 77.8%, with conversion in 13.3%. Bile duct injury occurred in 13.3%. No significant differences were found between diagnoses in age (p = 0.348), bile duct diameter (p = 0.186), or hospital stay (p = 0.913). Logistic regression did not identify independent predictors of conversion or complications. Conclusions: early cholecystectomy after ERCP is a safe procedure, with success and complication rates comparable to international reports. No independent clinical predictors of conversion or complications were identified.

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