Early Laparoscopic Cholecystectomy in acute cholecystitis and its sequlae: Experience in tertiary care hospital

Ratan, Ezharul Haque; Alam, Hasina

doi:10.3329/bccj.v5i2.34387

Cited by 1 publication

(1 citation statement)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Condilis et al found that surgery is faster and easier when performed in first 4-5 days of the onset of symptoms 14 . In a study that was done in Birdem General Hospital in Dhaka, Bangladish, the mean operating time was 68 min(35-122 min) for the cases that were operated upon within the first 24 hours of admission 15 . Kolla et al, in a prospective randomized trial, they compared the result of early surgery within 24 hours with delayed surgery within 6-12 weeks, the operating time was 104 min for the early group and 93 min for the delayed but the difference was statistically not significant 16 .…”

Section: Resultsmentioning

confidence: 99%

Comparison of Early and Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis: Experience From Two Centers in Basrah

Hussein¹,

Mohammed²,

AbuAl-Hail³

et al. 2018

Basrah Journal of Surgery

View full text Add to dashboard Cite

Calculous cholecystitis is a major and common health problem, and nowadays laparoscopic cholecystectomy is the preferred approach for its surgical management but timing of surgery is a matter of debate especially in presence of acute inflammation of the gall bladder. The aim of this study is to compare the outcome of early and delayed laparoscopic cholecystectomy for acute cholecystitis. This retrospective comparative study was done in two tertiary hospitals in Basrah from July 2010 to July 2017. It involved 122 cases (98 females 80.3% and 24 males 19.7 %). Forty two (34.5%) underwent early laparoscopic cholecystectomy within 4 days of symptoms and 80 patients (65.5%) underwent delayed operation within 6-12 weeks of first presentation. The two groups were comparable in regard to demographic and clinical points of view. The age of studied patients lies between 20-65 years. The operative time was not identical for the two groups (P=0.004), early treated cases tended to take longer operative time. Hospital stay was significantly longer in early cases as compared to delayed cases (p=0.000). Bile leak happened in only one case (2.4%) of the early group and was managed successfully and discharged well. Bleeding and respiratory infection were extremely rare in both groups. Conversion rate was 4.8% and 5% for the early and delayed group respectively and the difference was statistically not significant (p value 0.661). In conclusion, early laparoscopic cholecystectomy in acute cholecystitis is safe and feasible in selected patients with no difference in morbidity and mortality if it done during the 1 st four days of beginning of symptoms, but the operative time is longer than delayed operation.

show abstract

Section: Resultsmentioning

confidence: 99%