A great deal of controversy still exists with regard to the surgical treatment of biliary pancreatitis. The question of the choice between an early intervention upon admission versus delayed operation performed during the same admission is still open to debate. The use of endoscopic procedures in any phase of the treatment, as well as new surgical approaches such as laparoscopic surgery show that the question on the most appropriate surgical treatment of biliary pancreatitis is far from it's end. In order to answer some of these questions, we retrospectively analized the early results of delayed conventional or laparoscopic operation in 107 patients with mild pancreatitis during a 9-year approach. Eighty patients were female and the mean age of the group was 46 years. Mean clinical manifestation time before arriving hospital the was 3,1 days, and after a mean hospitalization of 9,5 days the patients underwent surgical treatment. Intra-operative colangiography was performed in 102 patients and pre operative endoscopic colangiography in 24. The incidence of choledocolithiasis in this study was 23%, and morbidity was observed in 12%. There was no mortality. In 64 patients conventional surgical treatment was employed while in 43 cases laparoscopic treatment was used. Results show significant statistic difference in the post operative hospital stay wich was shorter in the laparoscopic group. We concluded that a delayed surgical treatment for mild biliary pancretatitis has low morbidity and mortality, and can be performed by conventional or laparoscopic aproaches and choledocolithiasis did not increase morbidity or mortality.
Acute Pancreatitis; Gallstone Pancreatitis; Surgical Treatment; Laparoscopic Cholecistectomy
