Delayed Vs interval cholecystectomy for gall stone pancreatitis

Gallstones are the major cause of acute pancreatitis. the timing of cholecystectomy remains controversial. it was hypothesized that in patients with mild to moderate gallstone pancreatitis (three or more ranson's criteria); performing cholecystectomy in first admission stay after resolution of pancreatitis would result in shorter hospitalization,without adversely affecting the outcomes. theobjective of the study was to compare the outcome of delayed cholecystectomy and interval cholecystectomy in patients with gallstone pancreatitis. the outcome was measured in terms of morbidity,mortality and hospital stay. it was a randomized clinical trial done in department of surgery,mayo hospital,lahore for nine months.total 62 patients; 12 to 60 years of age were included in the study. the patients were distributed into two groups by random assignment. group a (delayed cholecystectomy),group b (interval cholecystectomy). the male to female ratio was 1:5.2. in group a the average hospital stay was significantly less than in group b,p value (0.000). so cholecystectomy on the first admission has a better outcome as compared to interval cholecystectomy for gallstone pancreatitis.