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ORIGINAL ARTICLE
Year : 2013  |  Volume : 5  |  Issue : 7  |  Page : 414-418

Comparison of early and delayed laparoscopic cholecystectomy for acute cholecystitis: Experience from a single center


1 Department of General Surgery, Sher-i-Kashmir Institute of Medical Sciences Medical College Hospital, Bemina, Srinagar, Jammu and Kashmir, India
2 Department of General and Minimal Invasive Surgery, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India
3 Department of General Surgery, Government Medical College, Srinagar, Jammu and Kashmir, India

Correspondence Address:
Rayees Ahmad Dar
Rajbagh Extension, Srinagar, Jammu and Kashmir - 190 008
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1947-2714.115783

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Background: Cholecystectomy for symptomatic gallstones is mainly performed after the acute cholecystitis episode settles because of the fear of higher morbidity and conversion from laparoscopic cholecystectomy to open cholecystectomy during acute cholecystitis. Aims: To evaluate the safety and feasibility of laparoscopic cholecystectomy for acute cholecystitis and to compare the results with delayed cholecystectomy. Materials and Methods: This was a prospective and randomized study. For patients assigned to early group, laparoscopic cholecystectomy was performed as soon as possible within 72 hours of admission. Patients in the delayed group were treated conservatively and discharged as soon as the acute attack subsided. They were subsequently readmitted for elective laparoscopic cholecystectomy 6-12 weeks later. Results: There was no significant difference in the conversion rates, postoperative analgesia requirements, or postoperative complications. However, the early group had significantly more blood loss, more operating time, and shorter hospital stay. Conclusion: Early laparoscopic cholecystectomy within 72 hours of onset of symptoms has both medical as well as socioeconomic benefits and should be the preferred approach for patients managed by surgeons with adequate experience in laparoscopic cholecystectomy.


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