Evaluation of Early Laparoscopic Cholecystectomy for Acute Calculus Cholecystitis in Semiurban Setup in Western U.P
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 2
Abstract
Introduction: The common approach for management of acute calculus cholecystitis consist of an initial control of inflammation followed by interval cholecystectomy after a period of 5 weeks. However there is an increased risk of gallstone related morbidity during the waiting period for cholecystectomy. The aim of this prospective randomized study was to evaluate the safety and feasibility of early laparoscopic cholecystectomy for acute cholecystitis and to compare the results with delayed cholecystectomy. Material and methods: The study was conducted in department of surgery, Muzaffarnagar medical College and hospital, Muzaffarnagar in a period of 2 years. The study population included patient between 18-60 years of age with acute calculus cholecystitis presenting to Surgery OPD and emergency of Muzaffarnagar medical College, Muzaffarnagar fulfilling the inclusion criteria. Results: The mean duration of surgery was significantly longer in the early group (65.78 minutes) as compared to the delayed group (56.83 minutes). There is no statistically significant difference in incidence of intraoperative bile or stone spillage, conversion to open, postoperative drain requirement, postoperative pain and postoperative stay. The mean duration of overall hospital stay was significant between the two groups. Conclusion: The main advantage of the early laparoscopic surgery is the definitive treatment offered at the initial admission, avoiding the problems of failed conservative management, recurrent symptoms and complications. Furthermore, early surgery is associated with a shorter total hospital stay, which is more economic benefit to both the patient and the health care system.
Authors and Affiliations
Kumar Spandan, Singla Mamta, Attarde Niket, Maurya Arvind Kumar, Iyengar Madhvan, Sharma A C
Keywords
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