TO DETERMINE THE EFFICACY OF EARLY CHOLECYSTECTOMY SAFE IN MILD BILIARY PANCREATITIS

Aim: The aim of the study was to assess whether early cholecystectomy is safe in mild biliary pancreatitis. Study design: A prospective observational study. Place and duration: In the Surgical Unit-II of Bahawal Victoria Hospital, Bahawalpur for one-year duration from July 2019 to July 2020. Methodology: The study included 50 patients with mild biliary pancreatitis over a 1-year period. The study included patients over 18 years of age who had the first episode of acute benign biliary pancreatitis. Patients over 70 years of age, patients with moderate to severe biliary pancreatitis, pancreatic necrosis, pancreatic fluid build-up, chronic pancreatitis, alcohol abuse, and pregnant women were excluded. Early open cholecystectomy was performed within 48-72 hours from the first hospital admission. The endpoint was surgical complications following early cholecystectomy in benign biliary pancreatitis. Results: A group of 50 patients with mild biliary pancreatitis was analyzed for surgical complications. The incidence was 8%, wound infection 4%, subcutaneous abscess 2%, bile leakage 2%. There was no mortality in this study. Further episodes of pancreatitis did not develop after early cholecystectomy due to benign biliary pancreatitis. The hospital stay was short, an average of 13 days. Conclusion: It is concluded that early cholecystectomy can be safely performed after a mild attack of biliary pancreatitis without increasing morbidity. Keywords: biliary pancreatitis, gallstones, cholecystitis, ERCP, cholecystectomy