Timing of cholecystectomy in patients with gallstone pancreatitis remains controversial. In this small trial, 50 patients with mild pancreatitis (Ranson score 3 or less) were randomized to early cholecystectomy (within 48 hours) or late cholecystectomy (after resolution of pain and improvement in labs). Those in the early group had significantly shorter LOS (mean 3.5 vs 5.8 days) with no difference need for open procedure or peri-operative complications. Early cholecystectomy in patients with mild gallstone pancreatitis may shorten hospital LOS without increasing complications (abstract)
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