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Year : 2018  |  Volume : 31  |  Issue : 1  |  Page : 145-151

Laparoscopiccholecystectomy role in the management of acute biliary pancreatitis

1 Department of General Surgery, Faculty of Medicine, Menofia University, Menofia, Egypt
2 Department of General Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt
3 Department of General Surgery, Naser Institute, Cairo, Egypt

Correspondence Address:
Mohammed O Ammar
Sedi Bishr, Alexandria
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mmj.mmj_600_16

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Objective The aim of this paper was to evaluate the role of laparoscopic cholecystectomy(LC) in the management of acute biliary pancreatitis before patient discharge from the point of view of availability, advantages, and disadvantages. Background In patients with mild gallstone pancreatitis, cholecystectomyduring the same hospital admission might reduce the risk of recurrent gallstone-related complications, compared with the more commonly used strategy of interval cholecystectomy. However, evidence to support same-admission cholecystectomy is poor, and concerns exist about an increased risk of cholecystectomy-related complications with this approach. In this study, we aimed to compare same-admission and interval cholecystectomy, with the hypothesis that same-admission cholecystectomy would reduce the risk of recurrent gallstone-related complications without increasing the difficulty of surgery. Patients and methods This is a prospective study carried on 20 consecutive patients in Menoufia University, Faculty of Medicine and Alexandria University, Faculty of Medicine; all of them presented with symptoms of acute biliary pancreatitis from April 2015 to September 2016. Overall, 20cases were included because of limited number of patient who presented to our hospital in this period of time and fulfilled the inclusion criteria. Computed tomography severity index is the mainmethodfor choosing patients in the study then assess operative time and difficulty and postoperative pain and hospital stay and recurrence of attacks. Results A total of 20cases underwent LC at the same time of admission in the hospital, and none of them(0%) were converted to open technique; operative time and difficulty was average, and all of them(100%) hadnorecurrent attacks of pancreatitis in postoperative follow-up. Conclusion LC in mild acute biliary pancreatitis is safe and should be done during the same hospital admission to prevent further attacks of pancreatitis.

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