A Comparative Study of Early Versus Interval Cholecystectomy in a Case of Acute Cholecystitis

Nakulkumar N Sulegaon; Gunvant H Rathod; Rakesh A Makwana; Ram A. Parmar; Hemal P. Chheda

Volume : III, Issue : VII, July - 2014

A Comparative Study of Early Versus Interval Cholecystectomy in a Case of Acute Cholecystitis

Nakulkumar N Sulegaon, Gunvant H Rathod, Rakesh A Makwana, Ram A. Parmar, Hemal P. Chheda

Abstract :

Introduction: In present days, there is controversy regarding superiority of early versus interval laparoscopic cholecystectomy Objectives : To study and compare early laparoscopic cholecystectomy versus delayed laparoscopic cholecystectomy with regards to bene�¬�ts and harms. Design : Cross- sectional descriptive comparative study Subjects : 50 patients , diagnosed with acute cholecystitis who underwent cholecystectomy from May 2012 to October 2013. Intervention : Early & Interval laparoscopic cholecystectomy Outcome measures : • Conversion to open cholecystectomy, • Operating time, • Bile duct injury, • Unfavorable intra-operative inadvertent events & • Total Hospital stay. Results : There is no significant difference in early & interval cholecystectomy regarding conversion to open & operating time. However , early cholecystectomy has definate avantage in reducing total hospital stay. Conclusion : Even though, there is no significant different in these two intervention, Early cholecystectomy is safer & has definate socio-economical advantage in reducing total hospital stays