Timing of Cholecystectomy for Biliary Pancreatitis in Chinese Patients. Issue 4 (August 2015)

• Record Type: Journal Article
• Authors: Yuan, Haicheng; Qin, Mingfang; Liu, Rong; Hu, Sanyuan
• Is Part Of: Surgical laparoscopy endoscopy & percutaneous techniques. Volume 25:Issue 4(2015)
• Publication Date: 2015-08
• Subjects: biliary pancreatitis -- cholecystectomy -- recurrent pancreatitis -- timing; Endoscopic surgery -- Periodicals; Laparoscopic surgery -- Periodicals; Endoscopy -- Periodicals; Laparoscopy -- Periodicals; 617.550597
• DOI: 10.1097/SLE.0000000000000099
• Languages: English
• ISSNs: 1530-4515

Abstract

Abstract : Background: The aim of this study was to determine the most feasible and cost-effective time of cholecystectomy following gallstone pancreatitis in Chinese patients. Materials and Methods: A total of 233 patients who underwent cholecystectomy for biliary pancreatitis (January 2004 to July 2012) were categorized into one of 2 groups: group A patients underwent cholecystectomy during admission (n=123), and group B patients delayed cholecystectomy after discharge from admission (n=110). Results: The groups were comparable in demographics, comorbidities, and disease severity. In total, 100% of patients in group A had a cholecystectomy within 3 weeks after admission, and 60.9% of patients in group B experienced precholecystectomy gallstone-related events (including 15 cases of recurrent pancreatitis) after discharge. The median total length of hospital stay was greater for group B than for group A [12 d (range, 4 to 24 d) vs. 17 d (range, 9 to 39 d), respectively, P =0.000]. The average cost of management was greater in group B than group A [23, 036.11 Yuan (range, 9073.53 to 85, 132.33 Yuan) vs. 36, 643.27 Yuan (range, 14, 096.36 to 69, 642.02 Yuan), respectively, P =0.000]. Conclusion: In Chinese patients, cholecystectomy should be performed within 3 weeks after admission without delay, and is feasible and cost-effective.