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SAFETY AND FEASIBILITY OF LAPAROSCOPIC CHOLECYSTECTOMY FOR THE TREATMENT OF GALLSTONE PANCREATITIS

Dr Muhammad Afzaal, Shameen Ashfaq, Dr Saim Ali Cheema

Objective: The occurrence of gallstone pancreatitis of acute nature is very common in whole world. This research work aimed to evaluate the safety and feasibility of LC (Laparoscopic Cholecystectomy) as a decisive therapy among patients suffering from mild or resolving gallstone pancreatitis. Methodology: This study was a prospective research work carried out from August 2017 to July 2019. We diagnosed the patients with clinical examination, bio-chemical tests, ultrasound and enhanced computed tomography. The patients who were suffering from the disease of mild nature and offered Laparoscopic Cholecystectomy in hospital. We referred the patients for endoscopic sphincterotomy who were not fit for surgery. We excluded the stones of common bile duct before surgery. Results: A sum of 38 patients who were suffering from acute gallstone pancreatitis were the part of this research work in the duration of this research work. The average age of the patients was 46.3 years. We referred 26.3% (n: 10) patients for Endoscopic Retrograde Cholangio Pancreatography and endoscopic sphincterotomy. We managed 28.9% (n: 11) patients by conservative treatment. The average duration of the period from the start of symptoms and Laparoscopic Cholecystectomy was 7 days with a range from 4 to 10. The average duration of the surgery was 45 minutes and stay in the hospital was 7 days. We found no operative mortality in this research work. We recorded no major intra-surgical or post-surgical complication. Nine percent (n: 2) patients were present with complications of minor nature. Conclusion: We can perform the Laparoscopic Cholecystectomy safely in selected patients suffering from mild gallstone pancreatitis for the prevention of attacks of acute pancreatitis in future and other outcomes of late treatment. It also resolves the problem of noncompliance of treatment. Key Words: Complications, Gallstone, Cholecystectomy, Endoscopic Retrograde Cholangio Pancreatography, Laparoscopy, Mild, Pancreatitis.