Compare the effectiveness of early versus delayed laparoscopic cholecystectomy in acute calculus cholecystitis
DOI:
https://doi.org/10.18203/2349-2902.isj20180376Keywords:
Acute calculus cholecystitis, Delayed laparoscopic cholecystectomy, Early laparoscopic cholecystectomyAbstract
Background: To compare the effectiveness of early versus delayed laparoscopic cholecystectomy in acute calculous cholecystitis.
Methods: 30 Cases each in early group and delayed group were selected according to their time of presentation of their first symptom. Parameters were recorded intraoperative complications, timing of surgery, postoperative morbidity, days of hospital stay, days of antibiotic coverage, conversion to open and readmissions. In addition, author estimated the direct cost savings of implementing an ELC program
Results: The overall morbidity and complications are less in ELC compared to DLC. Mean number of hospital stay is less in ELC (4.90%) whereas DLC (6.30%). Mean number of days of antibiotic coverage less in ELC (3.9 days) to DLC (5.30 days). Mean operative time is less in ELC (60 minutes) and DLC (82 minutes). Overall the complications, morbidity, mortality, ICU admissions, readmissions are less in early laparoscopic cholecystectomy.
Conclusions: ELC is safe in patients with acute cholecystitis and could lead to a reduction in the direct costs of treatment.
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