A Comparative Study Of Early Versus Delayed Laparoscopic Cholecystectomy For Acute Cholecystitis
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
Introduction: Laparoscopic cholecystectomy is the most common laparoscopic surgery performed in the world1 . The traditional treatment (initial) of acute calculus cholecystitis includes bowel rest, intravenous hydration, correction of electrolyte abnormalities, analgesia, and intravenous antibiotics. Following this treatment, patients with uncomplicated disease are managed on outpatient basis and are called for laparoscopic cholecystectomy after a period of 6–8 weeks. Materials and methods: Between January 2017 and December 2017, 40 patients with a diagnosis of acute cholecystitis underwent early laparoscopic cholecystectomy within 72 h of admission. This study group was compared with a control group of 40 patients of acute cholecystitis, who underwent delayed laparoscopic cholecystectomy after an initial period of conservative treatment. Results: There was no significant difference in the conversion rates (3 early versus 2 delayed), postoperative analgesia requirements, postoperative pain scores, or duration of postoperative stay (1.66 days early versus 1.46 days delayed). However, duration of surgery was significantly more in the early group (65.89 minutes early versus 55.76 minutes delayed). Surgery was abandoned in 3 patients from the early group because of difficult anatomy. No complications and mortality were seen in either group. Conclusion: The duration of surgery, post-operative complications, conversion to open cholecystectomy, mean days of hospital stay and mean days of return to full activities was less in early laparoscopic surgery group as compared to delayed laparoscopic surgery group in acute cholecystitis.
Authors and Affiliations
Dr. A. M. Sreedhara
Keywords
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- EP ID EP401677
- DOI 10.9790/0853-1710057779.
- Views 60
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