Endoscopic nasobiliary tube drain (ENBTD) prior to laparoscopic cholecystectomy in acute± complicated cholecystitis: Influence on the rate of complications

Abstract

Laparoscopic management of acute cholecystitis is a logical progression from elective laparoscopic cholecystectomy, but questions remain about its safety, cost effectiveness, and success rate. 1 Although laparoscopic cholecystectomy is the procedure of choice in chronic cholecystitis, its use in acute cholecystitis may be associated with higher costs and complication rates. Also, It is not known which patients with acute cholecystitis are likely to require conversion to open cholecystectomy based on preoperative data or if a cooling-off period with medical therapy can diminish inflammation and increase the chance of successful laparoscopic cholecystectomy. 2,3 Intraoperative bile duct injury and/ or postoperative bile leakage have been considered among the most serious complications of laparoscopic cholecystectomy (LC), resulting in chronic