Evaluation of Laparoscopic Cholecystectomy in the Treatment of Early Acute Cholecystitis

Abstract

Acute cholecystitis is inflammation of gall bladder wall. Laparoscopic cholecystectomy has become the gold standard in the treatment of symptomatic gall stones. The aim of this work is to evaluate laparoscopic cholecystectomy in the treatment of early acute cholecystitis. Twenty patients were included in this study; this study is analytical prospective study; it was carried out on 20 patients presented with acute cholecystitis admitted in the general surgery department at AL-Zahraa University Hospital in the period from March 2021 to September 2021.All patients diagnosed as acute cholecystitis clinically followed by ultrasonography and laboratory data. Our study revealed that the mean age was (39.65 ± 11.31) and the range was( 18-57), female patients were 11 (55%) and male patients were 9 (45%), Murphy sign was +ve in 16(80%), fever was in 15(75%),leukocytosis in 9 (45%) there was intraoperative dense fibrous adhesions in 2(10%) , fibrinous adhesions in 9 (45%) and omentum only in 7 (35%) , intraoperative phlegmon in the form of omentum and bowel in 2 (10%) and the form of pyocele in 2 (10%) . intra operative decompression in 3(15%), intra operative spillage of GB content in 4(20%), there was conversion to open in 2(10%) and this was due to severe adhesions, postoperative fever in 2(10%). postoperative pain was mild in 18(90%) and moderate in 2(10%). Early laparoscopic cholecystectomy is safe, effective and feasible. It had no increase in operative time, perioperative complication.