Abstract

LAPAROSCOPIC CHOLECYSTECTOMY IN ACUTE CHOLECYSTITIS

Hussain Ahmed*, Mallika Singha and Partha Pratim Das

ABSTRACT

Background: Acute cholecystitis is a fairly common condition, consisting of acute inflammation of gallbladder and usually associated with abdominal pain, vomiting, tenderness, fever. Laparoscopic cholecystectomy is the procedure of choice for majority of cases with Acute cholecystitis. For patients with acute cholecystitis has two broad approaches - early cholecystectomy and elective or delayed cholecystectomy. The aim of the present study is to discuss the outcome of Laparoscopic cholecystectomy as a management of acute cholecystitis and comparision between the two approaches i.e early and delayed cholecystectomy. Materials and Methods: 80 patients with clinical diagnosis of acute cholecystitis, admitted in the surgical wards of Gauhati Medical College and Hospital during the period of 1st March 2020 to 30th March 2021 were selected for the study. 30 patients underwent early cholecystectomy (within 7 days of onset of symptoms) and 50 patients underwent elective cholecystectomy (after a gap of 6-8 weeks from the acute attack). Results: In the present series the average duration of surgery was 75.30±10.56 min in the early group and 50.36±7.83 min for the elective group which is found to be statistically significant (P Value <0.05). In the early surgery group 10% (3 out of 30 patients) required conversion to open surgery. In the elective surgery group 4% (2 out of 50 patients) required conversion. Wound infection, biliary leakage, bile duct injury which is found to be statistically insignificant between the two groups. Conclusions: Early Laparoscopic cholecystectomy is feasible and safe for acute cholecystitis and is better method of treatment because of its shorter hospital stay, which is a major economic benefit to both the patient and health care system.

Keywords: Early cholecystectomy, laparoscopic cholecystectomy.