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RMJ. 2014; 39(3): 281-284


Outcome of early cholecystecotmy in acute mild biliary pancreatitis

Yousaf Jan, Muhammad Shah, Shaukat Hussain, Waqas, Ahmad Din.

Abstract
Objective: To evaluate if early cholecystectomy was safe in mild biliary pancreatitis.
Methodology: This prospective observational study included 72 patients with mild biliary pancreatitis over a period of 3 years. Cholecystectomy was performed within 48-72 hours of admission by an open approach. The patients were evaluated for the surgery related complications.
Results: The morbidity rate was 11.1% with wound infection in 5.5%, subphrenic abscess in 2.7% and biliary leakage in 2.7%. There was no mortality. The hospital stay varied from 5-12 days. No further episodes of pancreatitis occurred after cholecystectomy.
Conclusion: It is concluded that early cholecystectomy can be safely performed after a mild attack of biliary pancreatitis without increasing the morbidity and mortality rates.

Key words: Biliary pancreatitis, gall stones, cholecystectomy.



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