Early elective laparoscopic cholecystectomy during the same hospital admission after recovery of an attack of mild acute biliary pancreatitis: is it feasible and safe?

Abdelkader, Ashraf M.; Elwan, Taher H.; Ali Hassanien, Sharaf E.

doi:10.4103/1115-2613.278266

Early elective laparoscopic cholecystectomy during the same hospital admission after recovery of an attack of mild acute biliary pancreatitis: is it feasible and safe?

Authors

Abstract

Objective
We are aiming to identify the safety and feasibility of early laparoscopic cholecystectomy (LC) directly after the improvement of manifestations of an attack of mild acute biliary pancreatitis (MABP).
Patients and methods
This study included 150 patients of MABP. Patients were allocated into two groups: group same admission-laparoscopic cholecystectomy (SA-LC) (=80) who underwent LC in the same hospital admission of MABP after improving the indicator of the acute inflammation, and group delayed laparoscopic cholecystectomy (D-LC) (=70) who underwent LC 4–6 weeks after recovery of acute biliary pancreatitis. Patients’ data were collected during and after surgery; thereafter, the gathered data were statistically analyzed.
Results
No significant differences between both groups about the mean operative time (=0.162) were observed; however, the mean operative time was higher in the delayed elective group (SA-LC=48.12±10.44 and D-LC=50.56±11.43). The incidence of bile leakage was 1/80 and 1/70 in SA-LC and D-LC, respectively. Moreover, there was no significant difference between both groups with regard to the conversion rate, length of ICU admission, and the postoperative hospital stay days.
Conclusion
Undergoing LC during the same hospital admission after an attack of MABP is a feasible and safe operation. Furthermore, it stops the event of readmission due to gallstone-related complications.

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