Early Versus Delayed Laparoscopic Cholecystectomy In Patients With Mild Acute Biliary Pancreatitis

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dc.contributor.authorSharma, Rajeshen_US
dc.contributor.authorDevkaran, Bhaveshen_US
dc.contributor.authorSharma, Sanjeeven_US
dc.contributor.authorOhri, Anilen_US
dc.contributor.authorChaudhary, Rajeshen_US
dc.date.accessioned2019-12-06T09:24:07Z
dc.date.available2019-12-06T09:24:07Z
dc.date.issued2018-11
dc.description.abstractBackground: Acute gallstone pancreatitis is the common condition marked by pancreatic inflammation. In general, patients with gallstone induced mild pancreatitis should undergo definitive treatment in the form of LC before discharge from hospital, during first admission itself. This is more important to prevent a further attack of acute pancreatitis, seen in as many as 30-50%, during the waiting period of LC. Our study analyzes various parameters in patients which were treated by early and delayed laparoscopic cholecystectomy who presented with mild acute biliary pancreatitis. Methods: A prospective study was conducted for one year, where 25 cases were operated early (within 8 days of pain abdomen) and another 25 cases were operated by delayed laparoscopic cholecystectomy for diagnosed mild acute biliary pancreatitis. Various parameters were assessed and compared which included both intra operative and postoperative events. Haemodynamically unstable, associated choledocholithiasis, severe AP and patients with malignancy were excluded from this study. Results: Twelve cases presented with recurrent attacks in waiting period which were delayed for surgery. In early group, operative time ranged from 19-40 minutes, operative blood loss about 10-50 ml, 3 patients were converted from LC to OC, 6 patients needed a drain and hospital stay ranged from 2-6 days. In delayed group, operative time ranged from 18-36 minutes, operative blood loss about 10-40 ml, 2 patients converted from LC to OC, 3 patients needed a drain and hospital stay ranged from 1-5 days. Post operative analgesia dose was also comparable. Conclusion: In new era of sophisticated technology, improved operative techniques and better post operative management; early LC is gold standard approach in patients with mild to moderate gall stone induced AP. It protects against further attacks of biliary pancreatitis, with no increase in complications or morbidity. Therefore, LC in the early period is safe, effective and feasible in patients of gallstone induced AP, preventing recurrent attacks, which otherwise cause significant morbidity and even mortality in patients.en_US
dc.identifier.affiliationsSenior Resident , Deptt. Of Surgery, Dr. R.P. Govt. Medical College Kangra at Tanda HP, India.en_US
dc.identifier.affiliationsAssociate Professor, Deptt. Of Surgery , Indira Gandhi Medical College Shimla, HP, India.en_US
dc.identifier.affiliationsProfessor, Deptt. Of Radiodiagnosis. Indira Gandhi Medical College Shimla, HP, India.en_US
dc.identifier.affiliationsProfessor, Deptt. Of Anaesthesia. Indira Gandhi Medical College Shimla, HP, India.en_US
dc.identifier.affiliationsSenior Resident , Deptt. Of Surgery, Dr. R.P. Govt. Medical College Kangra at Tanda HP, India.en_US
dc.identifier.citationSharma Rajesh, Devkaran Bhavesh, Sharma Sanjeev, Ohri Anil, Chaudhary Rajesh. Early Versus Delayed Laparoscopic Cholecystectomy In Patients With Mild Acute Biliary Pancreatitis. Annals of International medical and Dental Research. 2018 Nov; 4(11): 5-9en_US
dc.identifier.issn2395-2822
dc.identifier.issn2395-2814
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/188451
dc.languageenen_US
dc.publisherSociety for Health Care & Research Developmenten_US
dc.relation.issuenumber11en_US
dc.relation.volume4en_US
dc.source.urihttps://doi.org/10.21276/aimdr.2018.4.6.SG2en_US
dc.titleEarly Versus Delayed Laparoscopic Cholecystectomy In Patients With Mild Acute Biliary Pancreatitisen_US
dc.typeJournal Articleen_US
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