Preoperative endoscopic retrograde cholangio-pancreatography (ERCP) is a risk factor for surgical site infections after laparoscopic cholecystectomy

We sought to examine whether preoperative endoscopic retrograde cholangio-pancreatography (ERCP) increases the risk of surgical site infections (SSI) after laparoscopic cholecystectomy. Patients admitted to an academic hospital from 2010 to 2016, who were older than 18 and had a laparoscopic or a la...

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Bibliographic Details
Published in:The American journal of surgery 2019-07, Vol.218 (1), p.140-144
Main Authors: Peponis, Thomas, Panda, Nikhil, Eskesen, Trine G., Forcione, David G., Yeh, Dante D., Saillant, Noelle, Kaafarani, Haytham M.A., King, David R., de Moya, Marc A., Velmahos, George C., Fagenholz, Peter J.
Format: Article
Language:English
Subjects:
Abdomen
Abdominal surgery
Adult
Antibiotics
Bile
Biliary tract
Biliary tract diseases
Body mass index
Calculi
Cholangiopancreatography, Endoscopic Retrograde - adverse effects
Cholangitis
Cholecystectomy
Cholecystectomy, Laparoscopic
Cholecystitis
Confidence intervals
Diabetes
Endoscopic retrograde cholangio-pancreatography
Endoscopy
ERCP
Female
Gallbladder diseases
Gallstones
Health risks
Hospitals
Humans
Infections
Infectious diseases
Laboratories
Laparoscopic cholecystectomy
Laparoscopy
Length of Stay - statistics & numerical data
Male
Medical personnel
Middle Aged
Pancreatitis
Pancreatography
Phosphatase
Prospective Studies
Risk analysis
Risk Factors
Surgery
Surgical site infection
Surgical site infections
Surgical Wound Infection - etiology
Variables
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Summary:We sought to examine whether preoperative endoscopic retrograde cholangio-pancreatography (ERCP) increases the risk of surgical site infections (SSI) after laparoscopic cholecystectomy. Patients admitted to an academic hospital from 2010 to 2016, who were older than 18 and had a laparoscopic or a laparoscopic converted to open cholecystectomy for complicated biliary tract disease were included. We compared those who had a preoperative ERCP to those who did not. Our primary endpoint was the rate of SSI. A total of 640 patients were included. Of them, 122 (19.1%) received preoperative ERCP and 518 (80.9%) did not. The former had different preoperative diagnoses compared to non-ERCP patients (choledocholithiasis [35.2%–7.0%], acute cholecystitis [31.2%–76.4%], gallstone pancreatitis [20.5%–16.2%], and cholangitis [13.1%–0.4%], p 
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2018.09.033