title: Early or delayed cholecystectomy (LC) for acute gallstone pancreatitis? An experience and review.
abstract: OBJECTIVE
  The timing for the management of gallstones pancreatitis remains a contentious issue. Various scholars have their own achievement in in regards to this issue.
  
  
  METHODS
  We reviewed our hospital charts from Jan 2007 to December 2010 and made a comparative study about early and delayed LC for mild to moderate gallstone pancreatitis in 80 patients.
  
  
  RESULTS
  Successful management was obtained in all patients. Out of 80 patients, 54 had underwent for early LC within 48 hours and 26 delayed LC (6-8 weeks).
  
  
  CONCLUSIONS
  Our study reveals that early cholecystectomy has nice outcomes in terms of shorter hospital stay and expenses. Proper consultation should be taken from radiological colleague if CBD dilations are >6 mm and contraction of gallbladder appears on imaging modalities. Comorbid conditions, past history of cholecystitis cannot be avoided for proper surgical outcomes. Postoperative complications can be deterred by early LC for mild gallstone pancreatitis. However, large volume studies are essential from different places to answer the debated topic of which management protocol is justifiable for the management of mild to moderate gall stone pancreatitis.
authors.affiliation: Department of Hepatobiliary Pancreatic Surgery, West China Hospital, Sichuan University, Sichuan Province, China.
authors.forename: Ang
authors.initials: A
authors.lastname: Li
authors.forename: Hong Jun
authors.initials: HJ
authors.lastname: Qin
authors.forename: Long Wen
authors.initials: LW
authors.lastname: Ke
authors.forename: Guo
authors.initials: G
authors.lastname: Chen
authors.forename: Hui Min
authors.initials: HM
authors.lastname: Lu
authors.forename: Zhao Da
authors.initials: ZD
authors.lastname: Zhang
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D002763:Cholecystectomy / Q000009:adverse effects / Q000191:economics; D015897:Comorbidity; D017046:Cost Savings; D005260:Female; D042882:Gallstones / Q000150:complications / Q000175:diagnosis / Q000191:economics / Q000601:surgery*; D017721:Hospital Costs; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000175:diagnosis / Q000191:economics / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D012307:Risk Factors; D012720:Severity of Illness Index; D013997:Time Factors; D061665:Time-to-Treatment; D016896:Treatment Outcome; D055815:Young Adult