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
Related Articles
- EP ID EP401677
- DOI 10.9790/0853-1710057779.
- Views 88
- Downloads 0
Knowledge, Attitude and Practices about Diabetes Mellitus and Diabetic Retinopathy among Patients Attending Eye Opd at Tertiary Eye Care Centre in Central Rajasthan, India
Purpose: To assess knowledge, attitude and practice about DM and Diabetic Retinopathy & to find out the correlation of socio-demographic and underlying risk factor of DM & DR Method: Prospective observational study by fi...
Osteoma of the Zygomatic Process of the Temporal Bone-A Rare Case Report
Osteomas are the slow growing benign tumours of the lamellar bones. They are the most common benign neoplasm of nose and paranasal sinuses. But osteomas of the temporal bone are rare and that of the zygomatic process are...
A Case Of Carcinoid Testis
Testicular cancers account for around 1-1.5% of male neoplasms. A vast majority are germ cell tumours (more than 90%) followed by lymphomas (around 5%) and interstitial tumours (around 2%). Carcinoid tumour of the testis...
Color Stability and Surface Roughness of CAD/CAM Ceramill Composite and Cerasmart Endocrowns
With the advent of adhesive and digital dentistry along with the introduction of new generations of ceramic materials, endocrowns have become more spread to restore endodontically treated teeth.1 Endocrowns are adhesivel...
A Pandect of Oral Malodor
Oral malodor is one of the major concern of patients today as it brings marked psychological discomfort and may interfere with social interactions. Although it usually originates from oral cavity, there are multiple othe...