DOI: http://dx.doi.org/10.18203/2349-2902.isj20201549

A comparative study of interval cholecystectomy and early cholecystectomy in acute cholecystitis

Gursimranjit Singh, Rana Ranjit Singh, Darpan Bansal

Abstract


Background: In the whole world including India, the incidence of acute cholecystitis is increasing day by day. Gall stones are the most common cause of acute cholecystitis in 90-95% of the cases. The management of acute cholecystitis was conservative earlier but now there are studies recommending early surgery as the treatment of choice.

Methods: Our study was conducted on 60 patients divided into two groups of 30 each to compare the results of early surgery with the delayed surgery.

Results: The overall post-operative complication rate was same in both the groups but there was significant difference in the total hospital stay and total cost of the therapy in both the groups. The average total hospital stay in early group was 6.50±4.44 days and in delayed group was 10.80±5.55 days without including the number of days in non-operating admission.

Conclusions: So, early cholecystectomy was found to be more economical with less total hospital stay and less total cost of the therapy than interval cholecystectomy in acute cholecystitis.

 


Keywords


Acute cholecystitis, Early cholecystectomy, Interval cholecystectomy

Full Text:

PDF

References


Ahndt S, Pitt H. Sabiston - Textbook of Surgery. 17 edition. Volume 52. Elsevier Saunders; 2004: 1611-1612.

Ganey JB, Johnson PA, Prillaman PE, McSwain GR. Cholecystectomy: clinical experience with a large series. Am J Surg. 1986;151(3):352-7.

Alinder G, Nilsson U, Lunderquist A, Herlin P, Holmin T. Pre‐operative infusion cholangiography compared to routine operative cholangiography at elective cholecystectomy. Bri J Surg. 1986;73(5):383-7.

Sokhi GS, Longland CJ. Early and delayed operation in acute gall-stone disease. Br J Surg. 1973;60(12):937-9.

Jarvinen HJ, Hastbacka J. Early cholecystectomy for acute cholecystitis: a prospective randomized study. Ann Surg. 1980;191(4):501-5.

Bhaumik N, Pal R, Konar SR. A case of concomitant perforated acute cholecystitis and pancreatitis. Indian J Surg. 1982;44:75.

Norrby S, Herlin P, Holmin T, Sjodahl R, Tagesson C. Early or delayed cholecystectomy in acute cholecystitis? A clinical trial. Br J Surg. 1983;70(3):163-5.

Addison NV, Finan PJ. Urgent and early cholecystectomy for acute gallbladder disease. Br J Surg. 1988;75(2):141–3.

Arthur MP, Cuschieri A, Sells RA, Shields R. Controlled clinical trial comparing early wif interval cholecystectomy for acute cholecystitis. Br J Surg. 1975;62(10):850-2.

Houghton PW, Jenkinson LR, Donaldson LA. Cholecystectomy in the elderly: a prospective study. Br J Surg. 1985;72(3):220-2.

Wright HK, Holden WD. The risks of emergency surgery for acute cholecystitis. Arch Surg. 1960;81(3):341-7.