Early and delayed laparoscopic cholecystectomy in patientswith acute cholecystitis
Author
Source
Journal of the Faculty of Medicine Baghdad
Issue
Vol. 53, Issue 1 (31 Mar. 2011), pp.40-44, 5 p.
Publisher
University of Baghdad Faculty of Medicine
Publication Date
2011-03-31
Country of Publication
Iraq
No. of Pages
5
Main Subjects
Abstract EN
Background : iaparoscopic cholecystectomy (LC) gained a wide acceptance as treatment of choice for Acute cholecystitis (AC) as early in 72 hours of admission or after interval of 8-12 weeks after the patient treated by medical treatment.
Patients and Methods : a prospective study done between lsl Jan 20071-51 Jan 2010 in the first surgical unit in Baghdad teaching hospital at (Medical city).
The study included 110 patients admitted with AC to undergo LC.
They are classified in to two groups; early group who had LC done within 72 hours of admission and delayed group that LC done after interval of 812- weeks after initial medical treatment.
The diagnosis of AC was based on clinical, laboratory, ultrasonography, operative finding, and histological examination.
Results : the early group required modifications in operative technique (decompression of gall bladder and enlarging incision of epigastria port) more frequently (p < 0.001).
The conversion rate in early group was 7.3 % vs.
in delayed group was 12% and complication rate (early 14.5 % vs.
Delayed 20 %) was comparable.
Successful early LC required a longer operative time than delayed LC (early 75(95-155) minutes vs.
delayed 55 (110-32) minutes; p < 0.001) but reduced total hospital stay (early 6 (2-'15) days vs.
delayed 11 (5-25) days ; p< 0.001).
Conclusion : early LC for treatment of AC has no adverse effect on complication and conversion rates.
Although it is technically demanding and time consuming, this procedure provides a marked reduced total hospital stay.
American Psychological Association (APA)
al-Ubaydi, Tariq E.. 2011. Early and delayed laparoscopic cholecystectomy in patientswith acute cholecystitis. Journal of the Faculty of Medicine Baghdad،Vol. 53, no. 1, pp.40-44.
https://search.emarefa.net/detail/BIM-261111
Modern Language Association (MLA)
al-Ubaydi, Tariq E.. Early and delayed laparoscopic cholecystectomy in patientswith acute cholecystitis. Journal of the Faculty of Medicine Baghdad Vol. 53, no. 1 (2011), pp.40-44.
https://search.emarefa.net/detail/BIM-261111
American Medical Association (AMA)
al-Ubaydi, Tariq E.. Early and delayed laparoscopic cholecystectomy in patientswith acute cholecystitis. Journal of the Faculty of Medicine Baghdad. 2011. Vol. 53, no. 1, pp.40-44.
https://search.emarefa.net/detail/BIM-261111
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 43
Record ID
BIM-261111