Comparison of Postoperative Complications Early Vs Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis

Abstract

Background: Acute cholecystitis, which is typically associated with gallstones, is one of the most common causes of acute abdomen presenting in emergency departments around the world. The aim of this study was to compare the incidence of biliary leak and hospital stay between early and delayed laparoscopic cholecystectomy for acute cholecystitis.Objectives: To compare the incidence of biliary leak and hospital stay between early and delayed laparoscopic cholecystectomy for acute cholecystitis.Material and Methods: Patients with radiologically confirmed acute calculus cholecystitis and ASA grade I/II were selected from the surgical OPD and prospectively randomized into two equivalent classes between August 1, 2015 and July 31, 2017. Early laparoscopic cholecystectomy was performed on patients in group A, while delayed laparoscopic cholecystectomy was performed on patients in group B. The data was collected from the patients using a non-probability sampling technique.Results: The research included 200 patients with radiologically proven acute calculus cholecystitis and an ASA grade I/II. Overall, patients who had an early laparoscopic cholecystectomy had a shorter hospital stay and less billary leak than those who had a delayed laparoscopic cholecystectomy (P=0.01) (0.00 and 0.11). In comparison to Group-II, the number of post-operative complications was lower in Group-I.Conclusion: When compared to delayed laparoscopic cholecystectomy, early laparoscopic cholecystectomy allows for substantially shorter biliary leak frequency and overall hospital stay.Key Words: Acute cholecystitis, Cholecystectomy, Laparoscopic.

Comparison between outcome of early and delayed laparoscopic surgery in patients with acute cholecystitis – A prospective randomized controlled trial.

“…4 The presence of gall stones leads to acute cholecystitis, which is considered as emergency situation for surgical procedure. 5,6 Cholecystectomy for acute cholecystitis or recurring biliary colic is the most frequent procedure which is performed by the general surgeons, including approximately 600,000 surgeries per annum. The treatment of acute calculous cholecystitis has been renewed from a conservative approach to early cholecystectomy over a period of time.…”

“…The study concluded that although it was advantageous in terms of hospital stay but no benefit was observed regarding post-operative complications and conversion rate. 6 A local study reported that early and late laparoscopic surgery in acute cholecystitis are equally safe and feasible but early laparoscopy has got benefit of decreasing the hospital stay of the patients. 7,8,9 Another study https://doi.org/10.29309/TPMJ/2024.31.…”