Emergency Vs. Delayed Cholecystectomy in acute cholecystitis- Hospital based prospective randomized comparative study
Dr. Akshay Balaji
, Dr.Asaya Bosco Chandra
Acute cholecystitis, Cholecystectomy, Early cholecystectomy, Laparoscopic
Background: Acute cholecystitis is a very common gastrosurgical emergency. The timing of laparoscopic cholecystectomy (LC) in cases of acute cholecystitis is still a matter of debate. In general, delayed LC is preferred because of higher morbidity and conversion rate when LC is performed in acute cholecystitis. Aim and objective: To compare the various parameters and outcomes between early and delayed laparoscopic cholecystectomies with safety and feasibility evaluation. Materials and methods: A prospective, randomized controlled, interventional study was conducted from October 2021 to December 2022. Patients with a diagnosis of acute cholecystitis post-randomization were assigned into the early group (n = 50; LC within 72 hours of admission) and the delayed group (n = 50; initial conservative treatment followed by delayed LC 6–12 weeks later). The primary outcome measures were intraoperative and postoperative complications (bile duct injuries, bile leak, and wound infection), morbidity, mortality conversion, and length of hospital stay. The secondary outcome measures were the mean duration of surgery, the mean blood loss, other complications (subhepatic collection, postoperative pneumonia), and unsuccessful nonoperative management. Results: In our study, the conversion rate in early laparoscopic cholecystectomy (ELC) group was 5 (10%) and delayed laparoscopic cholecystectomy (DLC) group was 7 (14%), respectively. The mean operative time was 77.30 ± 20.078 vs 66.94 ± 29.501 minutes; p <0.001 in ELC and DLC groups, respectively; the mean blood loss was 82.60 ± 59.67 vs 65.40 ± 74.21; p <0.007 in ELC and DLC groups, respectively. Conclusion: Early cholecystectomy is safe and feasible in patients with acute cholecystitis.
"Emergency Vs. Delayed Cholecystectomy in acute cholecystitis- Hospital based prospective randomized comparative study", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.8, Issue 8, page no.552 - 559, August-2023, Available :https://ijsdr.org/papers/IJSDR2308081.pdf
Volume 8
Issue 8,
August-2023
Pages : 552 - 559
Paper Reg. ID: IJSDR_206583
Published Paper Id: IJSDR2308081
Downloads: 000347265
Research Area: Medical Science
Country: Puducherry, Puducherry, India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
