Effect of early laparoscopic cholecystectomy in acute cholecystitis

Abstract EN

-Background : Laparoscopic cholecystectomy (LC) has become the treatment of choice for elective cholecystectomy.

Objectives : To evaluate the safety and feasibility of early LC for AC and to compare the results with delayed LC.

Methods : A prospective study done from April 2011 to October 2013, 88 patients with diagnosis of AC were divided randomly into two groups according to the mode of treatment; (early group n = 40) treated by early LC within first 72 hours or (delayed group, n = 48) initial conservative treatment for 4-6 weeks, followed by delayed LC.

Results : There was no difference between the two groups (early & delayed LC), operating time (early 80min, delayed 70min), conversion rate (early 7.

5 %, delayed 6.

25 %), postoperative complications (early 20 %, delayed 14.

58 %), However, the early group had shorter mean hospital stay (early 2.

5 days, delay 5 days).

Conclusion : early laparoscopic cholecystectomy appears to be reliable, safe, and cost effective treatment modality for acute cholecystitis, offering the additional benefits of a shorter hospital stay.