OK To Operate For Gallstones Without Waiting

Tue, 07/17/2012 - 7:05am
Crystal Phend

In patients with gallstone pancreatitis, the common practice of delaying surgery until laboratory values stabilize lengthens the hospital stay without benefit to patients, an observational study determined.

Surgery within 48 hours of admission regardless of liver and pancreatic enzyme levels didn't significantly raise complication rates, conversion from laparoscopic to open surgery, or need for postoperative endoscopic procedures, Darin J. Saltzman, MD, PhD, of the Olive View-UCLA Medical Center in Sylmar, Calif., and colleagues found.

But hospital stay was 3-days shorter on average with the early strategy for uncomplicated acute gallstone pancreatitis, the group reported online in the Archives of Surgery.

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