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Challenges of Post ERCP Laparoscopic Cholecystectomy versus Elective Cholecystectomy

Background: Laparoscopic cholecystectomy (LC) post Endoscopic retrograde cholangio-pancreatography (ERCP) with endoscopic sphincterotomy (ES) is accepted as treatment of choice for choledocho-cholecystolithiasis. Studies have demonstrated that LC after ES is associated with difficulties, complications and higher conversion rate. Our study was to assess the challenges and complexities of LC after ERCP compared with standard elective LC for symptomatic uncomplicated cholecystolithiasis and assess the stenting effect when inserted on the following cholecystectomy and detect other factors that may cause post ERCP cholecystectomy challenges and complexities.