Comparative Study between Early Versus Delayed Laparoscopic Cholecystectomy in Mild Acute Gall Stone Pancreatitis

Abstract

n this study, the data of (40)patients with mild acute Biliary Pancreatitis who presented for the first time to the Department of General Surgery at Ain Shams University Hospitals, Cairo, Egypt., were collected during the period of december 2020 to july 2021. The diagnosis of acute Biliary Pancreatitis was based on acute abdominal pain, tenderness, amylase, and lipase levels increased by up to three times the normal limit, and detection of gallstones on ultrasonography. Presentation of increased gallbladder wall thickness and computed tomography CT abdomen. The following parameters were evaluated: age, sex, current illness, medical history, vital signs, laboratory results { cbc, liver function, serum amylase}. Patients were treated with adequate fluid resuscitation and analgesics and antibiotics. Severity of acute pancreatitis was assessed using the Revised Atlanta Criteria at the first hospitalization in both groups. The patients age ranged from 25 To 60 years. They were devided into 2 groups the 1st group (A) composed of 20 patients (4 males and 16 females) group(B) formed of 20 patients (4 males and 16 females).