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Chirurgia 2001 December;14(6):205-10

language: Italian

Acute biliary pancreatitis: timing of laparoscopic cholecystectomy in mild disease

Catani M., De Milito R., Spaziani E., Manili G., Capitano S., Di Filippo A., Antoniozzi A., Tomei B., Paparelli C., Simi M.


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Background. In this study, the ideal time for laparoscopic cholecystectomy in acute gallstone pancreatitis, with special reference to the severity of the disease, is analyzed.
Methods. From March 2000 to May 2001, 11 patients with a diagnosis of acute biliary pancreatitis have been studied. All the patients were submitted to a laparoscopic cholecystectomy during the same admission. Endoscopic retrograde cholangiopancreatography (ERCP) was performed in six cases. The mean operation time was 52 min.
Results. Complications were not observed.
Conclusions. The conclusion is drawn that laparoscopic cholecystectomy with or without preoperative endoscopic common bile duct exploration is recommended as a treatment of choice for acute biliary pancreatitis, and in the mild disease it is performed safely within seven days.

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