Original Article

Surgery Today

, Volume 43, Issue 6, pp 643-647

Open Access This content is freely available online to anyone, anywhere at any time.

Enhanced recovery in the management of mild gallstone pancreatitis: a prospective cohort study

  • Xin ZhaoAffiliated withDepartment of Hepatobiliary and Pancreatospleenic Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University
  • , Da-Zhi ChenAffiliated withDepartment of Hepatobiliary and Pancreatospleenic Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University Email author 
  • , Ren LangAffiliated withDepartment of Hepatobiliary and Pancreatospleenic Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University
  • , Zhong-Kui JinAffiliated withDepartment of Hepatobiliary and Pancreatospleenic Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University
  • , Hua FanAffiliated withDepartment of Hepatobiliary and Pancreatospleenic Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University
  • , Tian-Ming WuAffiliated withDepartment of Hepatobiliary and Pancreatospleenic Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University
  • , Xian-Liang LiAffiliated withDepartment of Hepatobiliary and Pancreatospleenic Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University
  • , Qiang HeAffiliated withDepartment of Hepatobiliary and Pancreatospleenic Surgery, Beijing Chaoyang Hospital Affiliated to Capital Medical University

Abstract

Purpose

The aim of this study was to establish enhanced recovery protocols for the management of mild gallstone pancreatitis.

Methods

Sixty consecutive patients were divided into enhanced recovery and traditional recovery (TR) groups in a randomized observational study. The basic enhanced recovery elements included early laparoscopic cholecystectomy, restrictive endoscopic intervention, and early oral nutrition. The incidence of complications, readmission, length of stay, and total medical cost were analyzed during the hospital course.

Results

The length of hospital stay and medical cost were significantly lower in the enhanced recovery group in comparison to the TR group: 5.9 days vs. 10.6 days (P < 0.01) and ¥10,023 vs. ¥15,035 (P < 0.01). The complications and readmission rates in the two groups were similar.

Conclusions

The implementation of enhanced recovery protocols is feasible in the management of mild gallstone pancreatitis. The utilization of these protocols can achieve shorter hospital stays and reduced costs, with no increase in either the re-admission or peri-operative complication rates.

Keywords

Enhanced recovery Acute gallstone pancreatitis Laparoscopic cholecystectomy Endoscopic retrograde cholangiopancreatography