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Volume 9 Issue 7 (July, 2021)

Original Articles

Comparison of early versus delayed cholecystectomy in patients with mild to moderate acute biliary pancreatitis
Kanchan Pankaj Waykole

Background:Acute pancreatitis is a sudden inflammation of the pancreas, an organ behind the stomach. This condition can range from mild to severe and is characterized by the development of pancreatic inflammation and digestive enzyme activation within the pancreas. The present study was conducted to evaluate outcomes of early versus delayed cholecystectomy in patients with mild to moderate acute biliary pancreatitis. Materials & Methods:80 acute biliary pancreatitis patients of both genderswere divided into 2 groups of 40 each. In group I, patients underwent early cholecystectomy and in group II, delayedcholecystectomy was done. Cholecystectomy was performed as a laparoscopic procedure by a single surgeon. Results: Group I had 21 males and 19 females and group II had 18 males and 22 females. The conversion to open was seen in 4 patients in group I and 5 patients in group II. The mean duration of surgery was 74.2 minutes in group I and 80.4 minutes in group II. Perioperative complications were 1 in group I and 3 in group II,postoperative complications were 2 in group I and 4 in group II and overallcomplications were 3 in group I and 7 in group II patients. The difference was significant (P< 0.05). Conclusion: For individuals with mild to moderate acute biliary pancreatitis, the authors advise an early laparoscopic cholecystectomy.

 
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