Comparison of Early and Late Laparoscopic Cholecystectomy Results in the Treatment of Mild and Moderate Acute Biliary Pancreatitis

Abstract

Objective: Acute pancreatitis is a nonbacterial inflammation that occurs as a result of the pancreatic gland being released into the interstitial area with the activation of its own enzymes and digesting its own tissue. Gallstones are the most common cause of acute pancreatitis. Cholecystectomy is the gold standard in the treatment of acute biliary pancre- atitis (ABP) to prevent complications and recurrences. The timing of cholecystectomy is still controversial. In this study, we aimed to compare the early and late results of patients who were hospitalized in our clinic with the diagnosis of mild and moderate ABP and underwent laparoscopic cholecystectomy (LC). Methods: The files of 45 patients who were hospitalized with the diagnosis of ABP and underwent LC were reviewed retrospectively. Of the patients, 35 (77.8%) were females and 10 (22.2%) were males. Twenty-two patients who underwent LC after completion of ABP treatment were named Group 1, and patients who were given a 2-month interval after ABP treatment and underwent LC afterward were named Group 2. Results: There were 22 patients in Group 1 and 23 patients in Group 2, It consisted of a total of 45 patients. The average age of the patients was 56 (26–93) years. The average hos- pital length of stay was 13.18 days in Group 1 and 8.3 days in Group 2. The mean duration of LC was 57.8 min in Group 1 patients, 45.7 min in Group 2, and a significant difference was found (p