Early versus late laparoscopic cholecystectomy in acute biliary pancreatitis: a prospective randomised study

Authors

  • Unmed Chandak Department of Surgery, GMCH, Nagpur, Maharashtra, India
  • Vishal Pind Department of Surgery, GMCH, Nagpur, Maharashtra, India
  • Arti Mitra Department of Surgery, GMCH, Nagpur, Maharashtra, India
  • Prasad Y. Bansod Department of Surgery, GMCH, Nagpur, Maharashtra, India http://orcid.org/0000-0001-8686-1925
  • Umesh Gaikwad Department of Surgery, GMCH, Nagpur, Maharashtra, India
  • Prachi Ramteke Department of Surgery, GMCH, Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20222059

Keywords:

Laparoscopic cholecystectomy, Hot cholecystectomy, Acute biliary pancreatitis, Delayed cholecystectomy, Biliary events

Abstract

Background: In patients with acute biliary pancreatitis, cholecystectomy is mandatory to prevent further biliary events, but the precise timing of cholecystectomy for mild to moderate disease remain a subject of ongoing debate. The aim of this study is to assess the outcomes of early versus delayed cholecystectomy. We hypothesize that early cholecystectomy as compared to delayed cholecystectomy reduces recurrent biliary events without a higher peri-operative complication rate.

Methods: Patients with mild to moderate ABP were prospectively randomized to either an early cholecystectomy versus a delayed cholecystectomy group. Recurrent biliary events, peri-operative complications, conversion rate, length of surgery and total hospital length of stay between the two groups were evaluated.

Results: A total of 70 patients were enrolled at tertiary care hospital in central India. Of them, 35were randomized to the early group and 35 patients to the delayed group using simple randomization technique. 

Conclusions: In mild to moderate ABP, early laparoscopic cholecystectomy reduces the risk of recurrent biliary events without an increase in operative difficulty or perioperative morbidity.

Author Biographies

Unmed Chandak, Department of Surgery, GMCH, Nagpur, Maharashtra, India

Associate Professor

Department of surgery,

Government medical college, Nagpur

Vishal Pind, Department of Surgery, GMCH, Nagpur, Maharashtra, India

Junior Resident, Department of Surgery

Government Medical College & Hospital, Nagpur, Maharashtra, INDIA

Arti Mitra, Department of Surgery, GMCH, Nagpur, Maharashtra, India

Professor

Department of surgery,

Government medical college, Nagpur

Prasad Y. Bansod, Department of Surgery, GMCH, Nagpur, Maharashtra, India

Assistant Professor, Department of Surgery

Government Medical College & Hospital, Nagpur, Maharashtra, INDIA

Umesh Gaikwad, Department of Surgery, GMCH, Nagpur, Maharashtra, India

Junior resident, Department of Surgery

Government Medical College & Hospital, Nagpur, Maharashtra, INDIA

Prachi Ramteke, Department of Surgery, GMCH, Nagpur, Maharashtra, India

Junior resident, Department of Surgery

Government Medical College & Hospital, Nagpur, Maharashtra, INDIA

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Published

2022-08-26

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Original Research Articles