Comparison of outcomes of index and interval laparoscopic cholecystectomy in mild biliary pancreatitis.

Authors

  • Hamza Babar Holy Family Hospital, RWP.
  • Faiza Firdous Holy Family Hospital, RWP.
  • Gohar Rasheed Holy Family Hospital, RWP.
  • Sarmad Arslan Benazir Bhutto Hospital, RWP.
  • Sumaira Ashraf Holy Family Hospital, RWP.
  • Sara Malik Holy Family Hospital, RWP.
  • Syed Waqas Hassan Holy Family Hospital, RWP.
  • Rubina Shehzad Holy Family Hospital, RWP.
  • Jahangir Sarwar Khan Holy Family Hospital, RWP.

DOI:

https://doi.org/10.29309/TPMJ/2024.31.11.8234

Keywords:

Acute Biliary Pancreatitis, Index Cholecystectomy, Interval Cholecystectomy

Abstract

Objective: To compare the outcomes of index and interval laparoscopic cholecystectomy in mild biliary pancreatitis in terms of duration of hospital stay. Study Design: Randomized Controlled Trial. Setting: Surgical Unit 1, Holy Family Hospital, Rawalpindi. Period: January 2023 till June 2023. Methods: Patients were being admitted with acute biliary pancreatitis and undergoing either index or interval cholecystectomy. BISAP scoring system was used for severity of ABP and mild cases were included. Study outcomes in both groups (index and interval cholecystectomy) were determined. For quantitative variables mean and standard deviation were calculated. Frequency and percentages were used to describe qualitative variables. Results: Total of 70 patients divided into two groups were included in this study. Mean age of the study population was 40.44+/-7.90 years. Fifty-three percent of the population had BMI in the overweight category. Mean BISAP score was 1.11+/-0.80. All of the patients included in the study had mild acute pancreatitis. The length of hospital stay was significantly associated with timing of surgery with p-values 0.045. Conclusion: The surgical outcomes of index and interval cholecystectomy in acute mild biliary pancreatitis are comparable. However, early cholecystectomy has shorter duration of hospital stay.

Author Biographies

Hamza Babar, Holy Family Hospital, RWP.

MBBS, Post graduate Trainee Surgical Unit 1, 

Faiza Firdous, Holy Family Hospital, RWP.

MBBS, FCPS (Surgery), Senior Registrar Surgical Unit 1, 

Gohar Rasheed, Holy Family Hospital, RWP.

MBBS, FCPS (Surgery), MHPE, Associate Professor Surgical Unit 1, 

Sarmad Arslan, Benazir Bhutto Hospital, RWP.

MBBS, FCPS (Surgery), Senior Registrar Surgical Unit 2, 

Sumaira Ashraf, Holy Family Hospital, RWP.

MBBS, FCPS (Surgery), Senior Registrar, Surgical Unit 1, 

Sara Malik, Holy Family Hospital, RWP.

MBBS, FCPS (Surgery), Senior Registrar, Surgical Unit 1, 

Syed Waqas Hassan, Holy Family Hospital, RWP.

MBBS, FCPS (Surgery), Senior Registrar Surgical Unit 1, 

Rubina Shehzad, Holy Family Hospital, RWP.

MBBS, FCPS (Surgery), Senior Registrar Surgical Unit 1, 

Jahangir Sarwar Khan, Holy Family Hospital, RWP.

MBBS, FCPS, FRCS, FACS, Dip Med, Head of Department Surgical Unit 1, 

Downloads

Published

2024-11-03