• Early versus Delayed (Interval) Laparoscopic Cholecystectomy For Acute cholecystitis
Kerbala Journal of Medicine,
2011, Volume 4, Issue 10, Pages 1162-1169
Abstractbackground: The surgical management of patients presenting with acute cholecystitis remains controversial.
The aim of this study was to evaluate the safety and feasibility of urgent laparoscopic cholecystectomy during the “index” (acute) admission with acute cholecystitis, and to compare with a policy of delayed (interval) cholecystectomy.
Methods: Between December 2009 and March 2011, 120 patients who had undergone laparoscopic cholecystectomy. Sixty patients underwent surgery during the index admission (group I). Sixty patients were assigned to initial conservative treatment followed by delayed laparoscopic cholecystectomy (group II).
Results: The cholecystectomy for acute group took longer operative time, needed more modification of the procedure used. It had comparable rate of complication, conversion rate and a shorter hospital stay than delayed group.
Conclusions: Laparoscopic cholecystectomy during the index admission with acute cholecystitis can be performed safely and successfully.
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