对于接受过内镜逆行胰胆管造影术的患者，我们应该在哪个时间段避免进行胆囊切除术？
During which period should we avoid cholecystectomy in patients who underwent endoscopic retrograde cholangiopancreatography?
作者信息
Favaro Murillo de Lima, Moran Stefanie Bergamim Saviano, Iamarino Ana Paula Marconi, Herrero Barbara Marrelli, Gabor Silvio, Ribeiro Junior Marcelo Augusto Fontenelle
机构信息
Universidade de Santo Amaro, São Paulo, SP, Brazil.
Hospital do Servidor Público Estadual "Francisco Morato de Oliveira", São Paulo, SP, Brazil.
出版信息
Einstein (Sao Paulo). 2020 Oct 23;18:eAO5393. doi: 10.31744/einstein_journal/2020AO5393. eCollection 2020.
OBJECTIVE
To determine the period during which we should avoid cholecystectomy after endoscopic retrograde cholangiopancreatography.
METHODS
A retrospective analysis of electronic medical charts of 532 patients undergoing endoscopic retrograde cholangiopancreatography, between March 2013 and December 2017.
RESULTS
Approximately one-third of patients underwent the procedure between 4 and 30 days after endoscopic retrograde cholangiopancreatography. The conversion rate was 3.8%. The need for abdominal drainage and the finding of biliary tract injury after surgery were observed in 15.1% and 1.9% of patients, respectively. The length of stay was significantly shorter among patients undergoing surgery more than 30 days after endoscopic retrograde cholangiopancreatography. These patients had a median length of stay of one day, whereas the median length of stay in the group undergoing the procedure between 4 and 30 days after endoscopic retrograde cholangiopancreatography was 2 days.
CONCLUSION
The period during which we should avoid cholecystectomy is between 4 and 30 days after endoscopic retrograde cholangiopancreatography.
目的
确定在内镜逆行胰胆管造影术后应避免进行胆囊切除术的时间段。
方法
对2013年3月至2017年12月期间接受内镜逆行胰胆管造影术的532例患者的电子病历进行回顾性分析。
结果
约三分之一的患者在内镜逆行胰胆管造影术后4至30天内接受了该手术。转换率为3.8%。分别有15.1%和1.9%的患者术后需要腹腔引流和发现胆道损伤。在内镜逆行胰胆管造影术后30天以上接受手术的患者住院时间明显更短。这些患者的中位住院时间为1天，而在内镜逆行胰胆管造影术后4至30天接受该手术的患者组中位住院时间为2天。
结论
在内镜逆行胰胆管造影术后4至30天内应避免进行胆囊切除术。
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