Prevalent impediments of acute cholecystectomy in acute biliary pancreatitis

Aim: to determine incidences of complications of acute cholecystectomy in cases of acute biliary pancreatitis. study design: observational descriptive study place and duration of study: study was conducted at department of surgery,sheikh zayed hospital,ryk during january 2016 to october 2016. the cases of acute biliary pancreatitis underwent cholecystectomy within 24 hours of admission. methods: inclusion criteria of the study includes both gender either male or female patients were taken together between the ages of 30 to 60 years. patients with first attack of acute biliary pancreatitis as per operational definition within seven days of the symptoms were also included for inclusion criteria. all patients were included in the study after obtaining their informed consent. exclusion criteria of the study were include patients with history of substance abuse,and patients presenting with complications like abscess,pseudocyst,necrotizing pancreatitis,recurrent pancreatitis,and those patients whose bilirubin level > 3 mg/dl and those patients who refused to participate were excluded from the study. results: out of total 100 cases 38(38%) were males and 62(62%) females. the mean age of the patients was 40.13±5.31 years. the mean duration of symptoms undergoing cholecystectomy was 5.22±3.07 days. mean duration of surgery was 51.17±4.25 minutes. complications of early cholecystectomy were seen in 29(29%) of these cases. prolonged duration of surgery was seen in 11(11%) cases. prolonged duration of hospital stay was seen in 12(12%) cases while recurrence of pancreatitis was observed in 6(6%) out of 100 cases. conclusion: the complication rate is high in cases of early cholecystectomy and prolonged hospital stay is the most common.