Staff Members - Benha University
Early elective laparoscopic cholecystectomy during the same hospital admission after recovery of an attack of mild acute biliary pancreatitis: is it feasible and safe?
The Egyptian Journal of Surgery • 2020
Publication Information
Authors
Ashraf M. Abdelkader , 2- Taher H. Elwan , 3- Sharaf Elsayed Ali Hassanien
Keywords
Biliary pancreatitis; laparoscopic cholecystectomy; early elective; delayed operation.
Journal
The Egyptian Journal of Surgery
Publisher
The Egyptian Society of Surgeons (ESS)
Volume
39
Issue
1
Pages
42-48
publication.type
International
Paper Link
Open Link
Supplementary Materials
Not Available
Abstract
Objectives: 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).
Methods: the current study included 150 patients of MABP. Patients were allocated into two groups; group SA-LC (n=80) who underwent LC in the same hospital admission of MABP after improving the indicator of the acute inflammation, and group D-LC (n=70) who underwent LC 4-6 weeks after recovery of acute biliary pancreatitis. Patients’ data were collected during and after surgery, then the gathered data were statistically analyzed.
The results: No significant differences between both groups about the mean OT (P-value 0.162), however, the mean OT was higher in the delayed elective group (SA-LC=48.12±10.44& D-LC =50.56±11.43). The incidence of bile leakage was 1/80 and 1/70 in SA-LC and DLC, respectively. Also, There was no significant difference between both groups about the conversion rate, length of ICU admission, and the PO hospital stay days.
Conclusion: Undergoing LC during the same hospital admission after an attack of MABP is a feasible and safe operation. Also, it stops the event of readmission due to gallstones–related complications.
Methods: the current study included 150 patients of MABP. Patients were allocated into two groups; group SA-LC (n=80) who underwent LC in the same hospital admission of MABP after improving the indicator of the acute inflammation, and group D-LC (n=70) who underwent LC 4-6 weeks after recovery of acute biliary pancreatitis. Patients’ data were collected during and after surgery, then the gathered data were statistically analyzed.
The results: No significant differences between both groups about the mean OT (P-value 0.162), however, the mean OT was higher in the delayed elective group (SA-LC=48.12±10.44& D-LC =50.56±11.43). The incidence of bile leakage was 1/80 and 1/70 in SA-LC and DLC, respectively. Also, There was no significant difference between both groups about the conversion rate, length of ICU admission, and the PO hospital stay days.
Conclusion: Undergoing LC during the same hospital admission after an attack of MABP is a feasible and safe operation. Also, it stops the event of readmission due to gallstones–related complications.