Outcome of early vs delayed laparoscopic cholecystectomy in patients with acute cholecystitis
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 7, Issue 2
Abstract
Background Laparoscopic cholecystectomy, a common surgical procedure for treatment of acute cholecystitis But the time at which the procedure laparoscopic cholecystectomy, is suppose to be done, that is within a week (early) or after 6 weeks (delayed) remains a controversy. Thus this study was planned to assess the outcome of early vs delayed laparoscopic cholecystectomy among patients with acute cholecystitis. Methods: A comparative cross sectional study was conducted from June 2014 to May 2015 in Department of Surgery, Siddhartha Medical Collage. Patients who underwent early laparoscopic cholecystectomy (n=39) and delayed laparoscopic holecystectomy (n=41) were included in group A and group B, respectively. Outcome measures included were post operative pain score, conversion rate and duration of hospital stay. Data was analyzed using SPSS 17 and independent sample t test and Z test were used. p values of <0.05 was considered as significant. Results: Majority of participants (40%) belongs to fourth decade of life and 82.5% were females. Gall stones were common in both groups. Conversion rate was 10.3% and 4.9% in group A and group B, respectively. There was no difference in post operative pain score between both the groups. Duration of hospital stay in group A and group B was 3.81±1.8 and 5.53±2.71 with significant p value (0.0031). Conclusion Both early and delayed laparoscopic cholecystectomy is safe in the treatment of acute cholecystitis and there is no difference in the pain score but duration of hospital stay was less in early laparoscopic cholecystectomy group.
Authors and Affiliations
M B Satish Kumar
Keywords
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