A Prospective Study of Comparison Between Early Versus Delayed Laparoscopic Cholecystectomy in 50 Patients of Acute Calculus Cholecystitis

Indian Journal of Applied Basic Medical Sciences
Year: 2020, Volume: 22(A), Issue. (1)
First page: (158) Last page: (162)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi:10.48165/ijabms.2020.22115

A Prospective Study of Comparison Between Early Versus Delayed Laparoscopic  Cholecystectomy in 50 Patients of Acute Calculus Cholecystitis
Jhainam K Shah1, Yogesh N Modiya2, Maunil C Tomar3, Kush Mehta4 Yash Vyas5, Parthbhai Maheta6
Department of General Surgery , NHL medical college and VS Gen. Hospital Elis bridge  Ahmedabad pin 380006
Corresponding author email id:

Online Published on 02-Jan-2020

ABSTRACT

AIMS AND OBJECTIVES: Comparison between Early versus Delayed Laparoscopic Cholecystectomy in 50 patients of  Acute Calculus Cholecystitis MATERIALS AND METHODS: A systematic review was performed by randomized clinical trials of early laparoscopic  cholecystectomy (performed within 48 hours of onset of symptoms) versus delayed  laparoscopic cholecystectomy (performed at least 6 weeks after symptoms settled) for acute  cholecystitis. 25 Cases each in early group and delayed group were selected at VSGH from  January,2018 to December,2018 according to their time of presentation of their first symptom.  Parameters were recorded intraoperative complications, timing of surgery, postoperative  morbidity, days of hospital stay and conversion to open surgery. RESULTS:  Out of 50 patients, the overall morbidity and complications are less in Early laparoscopic  cholecystectomy (ELC) compared to Delayed laparoscopic cholecystectomy (DLC). Mean  operative time is less in ELC (70 minutes) and DLC (82 minutes).Mean number of hospital stay is  less in ELC (6 days) whereas DLC (8 days). Overall hospitalization stay, morbidity, ICU admissions  are less in Early laparoscopic cholecystectomy. CONCLUSON:  Early laparoscopic cholecystectomy (within 48 hours) from start of symptoms of acute calculous  cholecystitis: is safe, feasible and shortens the duration of hospital stay.

Keywords

Acute Calculus Cholecystitis, Early Laparoscopic Cholecystectomy, Delayed  Laparoscopic Cholecystectomy