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Table 3: Cholecystectomy scheduling time in

acute pancreatitis of biliary origin.

Severity according to

Atlanta classification

Conduct

Mild acute pancreatitis

During the same hospitalization

Moderately severe acute pancreatitis without local complications

Once the systemic inflammatory response is controlled and there is no evidence of pancreatic necrosis

Moderately severe acute pancreatitis with local complications

It is recommended to defer cholecystectomy until the need for surgical resolution of complications (necrosis, pseudocyst) is determined

Severe acute pancreatitis without local complications

Once organic failures are resolved and the patient’s clinical conditions allow them, surgery can be performed in the same hospitalization

Severe acute pancreatitis with local complications

Even when the organic failures are resolved and the patient’s clinical conditions allow them, it is recommended to defer cholecystectomy until the need for surgical resolution of the complications is determined

Table 3: Cholecystectomy scheduling time in acute pancreatitis of biliary origin.
Severity according to Atlanta classification	Conduct
Mild acute pancreatitis	During the same hospitalization
Moderately severe acute pancreatitis without local complications	Once the systemic inflammatory response is controlled and there is no evidence of pancreatic necrosis
Moderately severe acute pancreatitis with local complications	It is recommended to defer cholecystectomy until the need for surgical resolution of complications (necrosis, pseudocyst) is determined
Severe acute pancreatitis without local complications	Once organic failures are resolved and the patient’s clinical conditions allow them, surgery can be performed in the same hospitalization
Severe acute pancreatitis with local complications	Even when the organic failures are resolved and the patient’s clinical conditions allow them, it is recommended to defer cholecystectomy until the need for surgical resolution of the complications is determined