At the Kepler University Hospital Linz all variants of ERCP (preoperative, intraoperative, postoperative ERCP) are performed in cases of simultaneous cholecysto- and choledocholithiasis. Hardly any other hospital in Austria prefers intraoperative ERCP or offers it at all. A standardized procedure with implemented logistics has been established. This study compares intraoperative and postoperative ERCP.
At the Kepler University Hospital Linz all variants of ERCP (preoperative, intraoperative, postoperative ERCP) in cases of simultaneous cholecysto- and choledocholithiasis are performed. Usually an intraoperative ERCP followed by a preoperative ERCP is preferred. At the Kepler University hospital a high level of expertise in endoscopy and an interdisciplinary endoscopy team (surgical and internal medicine department) makes this high level of effort possible. Hardly any other hospital in Austria prefers intraoperative ERCP or offers it at all. A standardized procedure with implemented logistics has been established. The aim of this study is to demonstrate and compare the advantages of both procedures at KUK from 1.1.2020 to 30.6.2023 (intraoperative and postoperative ERCP) in terms of morbidity, endoscopic success and the better way for patients and surgeons in clinics.
Study Type
OBSERVATIONAL
Enrollment
200
endoscopical clearance of the common bile duct
Kepler University Hosital Linz
Linz, Austria, Austria
Post-ERCP Pancreatitis
radiological/blood sample/pain
Time frame: 48 hours after intervention
LOS
length of stay
Time frame: 9 months after first admission
Surgical method
LSK, robotic, open
Time frame: at surgery
Re-choledocholithiasis
choledocholithiasis after ERCP
Time frame: up to one year after first admission
Re-Intervenition
any endoscopic/surgical/radiological intervention after surgery or ERCP
Time frame: 30 days after surgery and/or ERCP
Successful ERCP
yes or no
Time frame: at ERCP
Costs
costs for one patient
Time frame: until 30 days after second surgery and/or ERCP
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