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178273

EARLY VERSUS DELAYED LAPAROSCOPIC CHOLECYSTECTOMY IN PATIENTS WITH MILD ACUTE BILIARY PANCREATITIS

Article

Last updated: 24 Dec 2024

Subjects

-

Tags

Surgery

Abstract

Background: Acute biliary pancreatitis and timing of cholecystectomy has always been a challenge for surgeons dealing with biliary pathology. Both the diagnosis and treatment have evolved over the last years with the introduction, and universal application of advanced imaging modalities, as well as endoscopic and laparoscopic procedures. Objective: To compare between index and interval laparoscopic cholecystectomy in the management of acute mild biliary pancreatitis. Patients and methods: This study was carried out on 50 patients with mild acute biliary pancreatitis, period from April 2020 to December 2020. The study had been carried out at Al-Hussein Hospital, Al-Azhar University, and Damanhour National Medical Institute. They were divided into two equal groups: Group A underwent early cholecystectomy within a week of admission, and group B underwent delayed (interval) cholecystectomy 4-6 weeks after discharge. Results: Early group included 3 males (12%) and 22 females (88%), while interval group included 5 males (20%) and 20 females. (80%) ,Regarding age (p=0.209) , mean age ±SD  for the index group was 39.40 ± 10.46 years, and range 23 – 59 years , while in the interval group mean age ±SD was 43.40 ± 11.69 years ,and range 22 – 59 years. All cases were subjected to through history taking and complete clinical examination. Abdominal pain was the presenting symptom in all patients (100%), jaundice was present in 10cases (40%) in group A and in 8 cases (32%) in group B. Laparoscopic cholecystectomy (LC) was completed to all patients in group A and group B without  conversion to open cholecystectomy.  Peristalsis was audible and patients started oral fluid intake in the same day of surgery in all cases. No intraoperative complications took place, and no postoperative complications were recorded. Patients were followed for 3 months post-operatively, no mortality, and no complications were recorded. Conclusion: Laparoscopic cholecystectomy in mild acute biliary pancreatitis was safe and feasible during index admission with no added risks. Postponing cholecystectomy did not alter intra-operative complications.

DOI

10.21608/amj.2021.178273

Keywords

Laparoscopic cholecystectomy, Mild Acute Biliary Pancreatitis

Authors

First Name

Ahmed

Last Name

Eid Saad El-Fayoumi

MiddleName

-

Affiliation

Department of General Surgery, Faculty of Medicine, Al-Azhar University

Email

ahmed_eid18@gmail.com

City

-

Orcid

-

First Name

Mohammad

Last Name

Ahmad Abd El-Gawad

MiddleName

-

Affiliation

Department of General Surgery, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Walid

Last Name

Raafat Abd El-Atey

MiddleName

-

Affiliation

Department of General Surgery, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

Volume

50

Article Issue

3

Related Issue

25707

Issue Date

2021-07-01

Receive Date

2021-06-17

Publish Date

2021-07-01

Page Start

1,811

Page End

1,824

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_178273.html

Detail API

https://amj.journals.ekb.eg/service?article_code=178273

Order

21

Type

Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

MainTitle

EARLY VERSUS DELAYED LAPAROSCOPIC CHOLECYSTECTOMY IN PATIENTS WITH MILD ACUTE BILIARY PANCREATITIS

Details

Type

Article

Created At

22 Jan 2023