Early laparoscopic cholecystectomy now the gold standard for acute cholecystitis - a comparative study on our experience

×

Error message

  • User warning: The following theme is missing from the file system: journalijdr. For information about how to fix this, see the documentation page. in _drupal_trigger_error_with_delayed_logging() (line 1138 of /home2/journalijdr/public_html/includes/bootstrap.inc).
  • Deprecated function: implode(): Passing glue string after array is deprecated. Swap the parameters in drupal_get_feeds() (line 394 of /home2/journalijdr/public_html/includes/common.inc).
  • Deprecated function: The each() function is deprecated. This message will be suppressed on further calls in _menu_load_objects() (line 579 of /home2/journalijdr/public_html/includes/menu.inc).

International Journal of Development Research

Volume: 
08
Article ID: 
11872
4 pages
Research Article

Early laparoscopic cholecystectomy now the gold standard for acute cholecystitis - a comparative study on our experience

Dr. Reny Jayaprakas, Dr. David Ringle, M.J. and Dr. Ambujam, G.

Received 29th October, 2017; Received in revised form 13th November, 2017; Accepted 17th December, 2017; Published online 31st January, 2018.

Copyright ©2018, Dr. Reny Jayaprakas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract: 

Aim: To determine if early laparoscopic cholecystectomy (LC) or delayed laparoscopic cholecystectomy (LC) is gold standard in our experience in Acute Cholecystitis. Methodology: The study was conducted in Department of General Surgery in Vinayaka Missions Karaikal under same surgical team.We compared surgical difficulties, clinical courses and complications between 20 patients undergoing delayed LC and 25 undergoing early LC. Results: We came to a conclusion that Delayed LC was associated with more surgical difficulties than early LC, including severe adhesion of the greater omentum (17/ 20vs. 2/25), severe cicatrization of Calot’s triangle (15/20 vs. 1/25), inability to identify or skeletonize the cystic duct (18/20 vs. 3/25), and severe cicatrization of the gallbladder bed (17/20vs. 1/25). Delayed LC was also associated with longer operating times (180 vs. 90 minutes), more conversions to open surgery (3/20 vs. 0/25), more complications (4/20 vs. 1/25), and longer hospitalization (16 vs. 8 days). Conclusion: From our study it is found that it is high time to make early laparoscopic Cholecystectomy the treatment of choice for acute cholecystitis from delayed laparoscopic cholecystectomy as it can effectively reduce operation time, duration of symptoms and hospital stay, and thus be of significant benefit to patients.

Download PDF: 
PDF icon 11872.pdf