Colecistectomía temprana versus diferida posterior a pancreatitis aguda biliar leve en el “Hospital Vicente Corral Moscoso” enero 2014 - junio 2015

Abstract

Introduction: Acute pancreatitis is the third common cause of acute gastrointestinal hospitalization. It has 5% of mortality rate. In most Western countries approximately 30-55% of cases are caused by gallstones or biliary sludge called gallstone pancreatitis. Cholecystectomy has been established as definitive treatment of biliary pancreatitis but the optimal timing is still in debate. Objective: To determine the benefits and complications of early cholecystectomy versus delayed cholecystectomy to subsequent biliary mild acute pancreatitis in the HVCM Surgery department during January 2014 to June 2015. Materials and methods: Prospective descriptive comparative research. Universe of 79 patients from 18 to 75 years that evaluated advantages and disadvantages of early cholecystectomy versus delayed after mild acute biliary pancreatitis. Descriptive analysis was conducted of statistical variables in SPSS version 21. Results: 49 corresponded to early cholecystectomy group 30 to delayed group. The female was most affected in 21 to 50 years group. Hospital stay was lower in the first group (mean 3.8 days, p <0.000). Surgery time was less than 60 minutes in early cholecystectomy. Inflammatory adhesions were presented in both groups. Timing of cholecystectomy does not affect the number or type of intraoperative complications. Conclusions: Early cholecystectomy (<72h admission) in the management of patients with mild gallstone pancreatitis has led to a significant reduction in hospital stay without increasing complications