International Journal of Medicine and Data

Objective To evaluate the safety and clinical efficacy of laparoscopic cholecystectomy for the treatment of calculous cholecystitis complicated with mild acute biliary pancreatitis. Methods A total of 86 patients with calculous cholecystitis combined with mild acute biliary pancreatitis were selected from our hospital from June 2020 to June 2023, and were randomly divided into experimental group and control group. Patients in the experimental group received LC treatment within 48 to 72 hours of admission, and patients in the control group received LC treatment within 1 to 2 weeks after significant relief of pancreatitis symptoms. The indexes of operation time, postoperative hospital stay, perioperative complications (bile leakage, bleeding, incision infection, bile duct injury, etc.), rate of laparotomy, total hospital stay, total medical expenses and recurrence rate of pancreatitis were compared between the two groups. Results Both groups were successfully operated without serious complications or death. There were no significant differences in perioperative complication rate, rate of laparotomy, recurrence rate of pancreatitis and operation time between the two groups (P>0.05). Postoperative hospital stay: the experimental group was significantly longer than the control group (P<0.05); Total hospital stay: the experimental group was significantly shorter than the control group (P<0.05); Total medical expenses: The experimental group was significantly lower than the control group (P<0.05). Conclusions Laparoscopic cholecystectomy is safe and effective in patients with calculous cholecystitis complicated with mild acute biliary pancreatitis within 48-72 hours of admission, and the clinical effect is satisfactory.

Laparoscopic cholecystectomy; Calculous cholecystitis; Mild acute biliary pancreatitis; Timing of surgery