Evaluation of Early Versus Late Laproscopic Cholecystectomy in Calculus Acute Cholecystitis
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 1
Abstract
The role of early laparoscopic cholecystectomy for acute cholecystitis with cholelithiasis is controversial. The aim of this prospective study was to evaluate the safety and feasibility of early LC for acute cholecystitis and to compare the results with delayed LC. Between August 2015 to August 2017, 60 patients with diagnosis of acute cholecystitis were assigned to early group, (LC within 72 hrs of admission), and delayed group, (initial conservative treatment followed by delayed LC, 6–8 weeks later). We found in our study that the conversion rate in early LC and delayed LC was 4.33% and 0%, respectively, Operation time for early LC was 69.4 min versus 66.4 min for delayed LC, post-operative complications for early LC and delayed LC were comparable, and blood loss was equivalent in both groups. However early LC had significantly shorter hospital stay (4.1 days versus 8.6 days). Early LC for acute cholecystitis with cholelithiasis is safe and feasible, offering the additional benefit of shorter hospital stay. It should be offered to the patients with acute cholecystitis, provided that the surgery is performed within 72 hrs of acute symptoms by an experienced surgeon.
Authors and Affiliations
Dr. Ajay Shahbaaz Singh, Dr. Gaurav Gupta M. S
Keywords
Related Articles
- EP ID EP474110
- DOI -
- Views 64
- Downloads 0
A Human Pseudotail with Lipomyelomeningocoele
The human tail is a skin-covered protrusion in lumbosacrococcygeal region, ascribing to the resemblance to animal tails. We present a female child presenting with human tail with lipomyelomeningocoele. Surgical excision...
Assessment of Quality Of Life with Different Radiotherapy Schedule in Palliative Management of Advanced Carcinoma Esophagus
Abstract: Esophageal cancer is an aggressive malignancy usually associated with a poor prognosis due to loco- regional failure and distal metastasis.The major goal of therapy is restoring and/or maintaining the ability t...
Prevalence of Allergic Bronchopulmonary Aspergillosis (ABPA) in Patients of Bronchial Asthma in Punjab
True prevalence of ABPA among asthmatics is not known, may be attributed to the lack of a uniform diagnostic criterion and standard tests. To determine the prevalence of ABPA in bronchial asthma. All patients of bronchia...
Opinions of Teachers Regarding Mentoring Programs for Students and Adolescent Health
Abstract: Adolescent period is hazardous due to absence of proper guidance and counseling. Mentoring relationships may contribute to the health and well-being of adolescents and young youths. Opinions of teachers regardi...
Study of Caesarean Section Rates in Induced Versus Spontaneous Labour at Term
Over recent decades, more and more pregnant women around the world have undergone induction of labour (artificially initiated labour) to deliver their babies. A major concern of labour induction is that elective labour i...