The Outcome of Early Laparoscopic Cholecystectomy after Acute Biliary Pancreatitis "on Same Admission" | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 122, Volume 92, Issue 1, July 2023, Page 6261-6268 PDF (598.05 K) | ||||
| DOI: 10.21608/ejhm.2023.314473 | ||||
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| Abstract | ||||
| Background: An acute pancreatic inflammatory process that may or may not include nearby tissues or distant organ systems is known as acute pancreatitis. Objectives: This study aimed to evaluate the possibility of early laparoscopic cholecystectomy at the same time of admission in patients with non-necrotizing biliary acute pancreatitis. Patients and methods: This study was carried out on twenty patients to detect the outcome of early laparoscopic cholecystectomy in acute biliary pancreatitis on same admission, which will be performed in General Surgery Department of Faculty of Medicine Menoufia University and General Surgery Department of Damanhur Medical National Institute. Results: MRCP was done in 4 cases only (20%), and revealed multiple small gallstones in these 4 cases, only minimal intra-hepatic biliary dilatation (IHBRD) in 2 cases (10%). IOC was done for the four cases revealed that two cases (10%) had no common bile duct (CBD) stones, the other two cases (10%) had a small stone in CBD, so CBD stone extraction was done through transcystic CBD exploration with IOC, the CBD diameter was within normal in these 4 cases, ranged from 7-9.5 mm, mean diameter was 8.25 ± 1.44 mm. The early laparoscopic cholecystectomy group experienced a considerably shorter overall hospital stay than the delayed laparoscopic cholecystectomy group. Conclusion: In moderate acute biliary pancreatitis, laparoscopic cholecystectomy is safe and doable during index hospitalisation without any further risks. | ||||
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