Early Versus Interval Cholecystectomy in Mild Acute Biliary Pancreatitis. A Retrospective Study in Tertiary Care Hospital

Authors

  • Sidra Mehmood Dar senior registrar surgery
  • Anam Saeed postgraduate trainee general surgery , SUI, Holy family Hospital, Rawalpindi
  • Jamal Nasir Malik postgraduate trainee general surgery, SUI, Holy family Hospital rawalpindi
  • Sadaf Batool Trust doctor surgery, northwest hospital, UK
  • Jahangir Sarwar Khan Professor of surgery Head of SUI, Holy family Hospital rawalpindi

DOI:

https://doi.org/10.48036/apims.v18i1.567

Keywords:

Mild Acute biliary pancreatitis(MABP), recurrence, early laparoscopic cholecystectomy(EC), interval laparoscopic cholecystectomy(IC)

Abstract

Objective: The objective is to determine the adequacy of early cholecystectomy (EC) versus interval cholecystectomy (IC) in terms of recurrence, duration of hospital admission, and perioperative complications after mild acute biliary pancreatitis (MABP).

Methodology: After endorsement from the ethical committee, clinical data and files of all the admitted patients having MABP in the general surgery department of Holy Family Hospital, Rawalpindi, was collected retrospectively from August 2017 to July 2020. The patients’ demographic profile, clinical findings, diagnostic investigations, timing of cholecystectomy, operating surgeons, operative time, biliary complications, intraoperative bleeding, conversion rate, duration of admission, and recurrence were reviewed. Patients presented with abdominal pain, vomiting, jaundice, or fever. The diagnosis was confirmed on the basis of a CT scan of the abdomen showing an inflamed pancreas and stones in the gallbladder. Outcomes were compared and reviewed between the two groups.

Results: In this research proposal, 263 patients admitted were analyzed. EC was performed were discharged after conservative management and followed up after 12 weeks for interval laparoscopic cholecystectomy (IC). It was observed in patients of IC (EC 2 [1.2%] vs IC 7[7%]; p value <0.01) while duration of hospitalization was prolonged as compared to patients of EC (EC 5.53+0.58days vs IC 5.82+0.78days; p value <0.001). lar in both EC and IC.

Conclusion: EC performed after MABP is associated with shorter duration of hospitalization and reduced recurrence with similar rate of perioperative complications.

Published

2022-04-28

Issue

Section

Original Articles