Effectiveness of Therapeutic Endoscopic Retrograde Cholangiopancreatography for Bile Duct Stone and Bile Duct Stricture in One Day Surgery Program
Keywords:
endoscopic retrograde cholangiopancreatography, ERCP, one day surgeryAbstract
Objective: In treatment of bile duct stone or bile duct stricture by endoscopic retrograde cholangiopancreatography (ERCP), outcomes of One Day Surgery (ODS) and in-hospital patients were compared in term of success rate of bile duct cannulation; including complications, operative time, and length of hospital stay.
Methods: This retrospective study was designed to determine outcome of ERCP in ODS and In-hospital program. One hundred-twelve patients who underwent elective ERCP from January 2017 to December 2020 in Nakhonpathom Hospital were enrolled in this study. Emergency ERCP patients or patients who unfit ODS program were excluded from study. STATA version 10.5.2 was used for statistical analysis. P-value < .05 was statistically significant.
Results: Total 112 patients who underwent ERCP were separated into two groups: 58 patients in ODS group and 54 patients in in-hospital group. Patients’ characteristics of both groups had no statistical significance in term of sex, age, pre-operative diagnosis, laboratories and ASA classification (p > .05). Success rates of bile duct cannulation were 91.4% and 92.6% respectively. The operative time was comparable in both groups (26.15 and 28.53 minutes). However, the study found that length of hospital stay in ODS program was 1.2 days and in-hospital program was 2.8 days, which was statistically significant.
Conclusion: ERCP in ODS program offers the equal outcomes and safety comparable with in-hospital program. The most benefit of ODS patients is length of hospital stay which shorter than in-hospital program. Thus all patients should be attended in ODS program if surgeons and anesthesiologists infer that the patient status is fit.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
