Home > Journals > Minerva Chirurgica > Past Issues > Minerva Chirurgica 2016 February;71(1) > Minerva Chirurgica 2016 February;71(1):31-7

CURRENT ISSUEMINERVA CHIRURGICA

A Journal on Surgery


Indexed/Abstracted in: EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 0,877

 

ORIGINAL ARTICLES  


Minerva Chirurgica 2016 February;71(1):31-7

language: English

Timing of cholecystectomy in acute biliary pancreatitis: is it still reasonable to wait?

Dario BORRECA, Alberto BONA, Maria P. BELLOMO, Andrea BORASI, Paolo DE PAOLIS

Department of General Surgery Gradenigo Hospital, Turin, Italy


PDF  REPRINTS


BACKGROUND: Acute gallstone-related pancreatitis is a potentially life-threatening condition, and its adequate therapy is represented by cholecystectomy. The aim of this study was to analyze the best surgical strategy, and the optimal timing.
METHODS: All cases of acute pancreatitis of biliary origin occurred between January 2007 and December 2013 in Gradenigo Hospital (Turin, Italy) undergone to a surgical procedure, were reviewed. Patients were divided in two groups, based on the timing of cholecystectomy, and compared.
RESULTS: Out of 2233 cholecystectomies performed in the mentioned time interval, we have identified 79 patients that fulfill the selection criteria. 24 patients were treated with an index-stay procedure, while 55 with a delayed approach. Length of stay was significantly lower in patients that underwent to an early laparoscopic cholecystectomy (9 vs. 13 days, P=0.003), while no differences were found in terms of length of intervention, intraoperative complications, postoperative stay and mortality. Patients treated with delayed surgery had a 28.6% recurrence rate of acute pancreatitis, with an odds ratio of 10.28 (P=0.02).
CONCLUSIONS: Early laparoscopic cholecystectomy should be performed in suitable patients in the index admission, reducing overall risks, avoiding or at least minimizing recurrencies, and rationalizing the scarce economic resources.

top of page