ASSOCIATION OF EARLY CHOLECYSTECTOMY WITH COMPLICATIONS IN PATIENTS PRESENTING WITH ACUTE PANCREATITIS.

Abstract

Background; Laparoscopic cholecystectomy is one of the commonly performed surgical procedure these days which is associated with significant reduction of morbidities and mortality. This study was conducted to ascertain complications in acute pancreatitis. Objective; To determine the frequency of complications of early cholecystectomy in patients with acute pancreatitis. Material and Methods; A total 152 patients with acute pancreatitis were enrolled in our study who underwent early laparoscopic cholecystectomy and were followed to document complications. All the data was entered and analyzed using SPSS-18. Results; Of these 152 study cases, 57 (37.5 %) were male patients while 95 (62.5 %) were female patients. Mean age of our study cases was 37.25 ± 7.29 years Of these 152 study cases, 71 (46.7 %) belonged to rural areas and 81 (53.3 %) belonged to urban areas. Diabetes was present in 40 (26.3 %) of our study cases. Hypertension was present in 67 (44.1%) of our study cases. Mean body mass index of our study cases was 26.12 ± 1.83 kg/m 2 and obesity was present in 39 (25.7 %) of our study cases. Mean duration of surgery was 58.53 ± 12.48 minutes and 77 (50.7%) had duration of surgery more than 60 minutes. Mean hospital stay was 5.23 ± 2.36 days and 80 (52.6%) had duration of hospital stay for more than 4 days. Complications were noted in 29 (19.1%) of our study cases. Conclusion; Early laparoscopic cholecystectomy in patients with acute pancreatitis is quite safe, reliable and effective procedure as frequency of complications was low in our study cases. Complication were significantly associated with increasing gender, age, diabetes and hypertension. All the surgeons treating such patients should employ early cholecystectomy to achieve desired outcomes. Keywords; Complication, Acute pancreatitis, Cholecystectomy. DOI : 10.7176/JMPB/54-14 Publication date : April 30 th 2019