Laparoscopic versus conventional surgery to the handling cholelithiasis in actua pancreatitis, Barranquilla 2010

Abstract

In order to compare the laparoscopic and conventional cholecystectomy in the management of cholelithiasis in acute pancreatitis, in Barranquilla, in the first half of 2010, we designed a multicenter case-control study which the complications, hospital stay and expenses were taken into account. Data were obtained from primary and secondary source, and were processed through Epi-info 3.5.3.The mean age was 54.5± 11.6 years old, female gender was the most frequent: 90% laparoscopic cholecystectomy and 85% conventional surgery. The hospital stay was shorter in the laparoscopic cholecystectomy group (3.8 ± 1.9 days versus 5.8 ± 2.4 days, OR = 9.14 CI = 3.13 – 63.43; p = 0.0002 for stay less than five days) and the successful exit was more frequent in that same group (100% versus 90%). We conclude that the best approach for the management of cholelithiasis in acute pancreatitis is the laparoscopic cholecystectomy in terms of hospital stay and leave conditions.