Volume : V, Issue : III, March - 2016

Laparoscopic Cholecystectomy in Acute Cholecystitis: To wait or operate?

Dr Ashish Yevale, Dr Ajay M Naik

Abstract :

 Acute cholecystitis is a common problem encountered by the general surgeon and cholecystectomy more so laparoscopic cholecystectomy has been established as the gold standard for the treatment of cholecystitis. While the need for surgery as a definite treatment in this condition has been established, the timing of surgery following an attack of cholecystitis continues to be a debated question. 168 laparoscopic cholecystectomies that were done either immediately after the first attack of acute cholecystitis or after waiting for a period of 6-8 weeks post the attack were evaluated for the duration of surgery, post operative bile leak, any organ injury, conversion to open surgery and duration of hospital stay. 76 patients underwent laparoscopic cholecystectomy within 24-48 hours of onset of the acute episode (group A) while 92 patients were operated after 6-8 weeks of the attack (group B). The duration of surgery was significantly shorter in group B, the hospital stay was less in group A while there was no significant difference between the two groups in the other parameters evaluated. Laparoscopic cholecystectomy may be safely performed either immediately post an attack of cholecystitis or after waiting for a gap of 6-8 weeks.

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Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

Dr Ashish Yevale, Dr Ajay M Naik Laparoscopic Cholecystectomy in Acute Cholecystitis: To wait or operate? Global Journal For Research Analysis, Vol: 5, Issue : 3 March 2016

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