Outcome of Laparoscopic Cholecystectomy in Acute Gall Bladder Disease

Abstract

Background: In order to remove the gall bladder, cholecystectomy, which may be performed laparoscopically, is one option. Before, acute cholecystitis was a barrier to laparoscopic treatment, but that limitation has been removed as the technique has evolved and become more refined. Objective: To see the outcome of laparoscopic cholecystectomy in acute gall bladder disease. Methods: This prospective observational research was undertaken from July 2021 to July 2022 at Rangpur Medical college Hospital. This research includes 52 acute cholecystitis patients. Age and gender didn't affect patient selection. Detailing routine and unusual clinical histories Blood, bilirubin Sugar, serum creatinine, CBC, SGPT, HBsAg, etc. Same surgical team performed all procedures. Post-op course and problems were noted. Everyone had four ports (Additional ports) Few individuals had 2-7-day cholecystectomy after acute attack. After attack conversion counseling, all patients had urgent Laparoscopic cholecystectomy. Results: Ultrasonographic findings (Table 2) showed that all the 52 patients had features of acute cholecystitis i.e. distended tense gallbladder with oedematous wall. In this series, 51patients had stones in the gall bladder and 1 patient had only features of acute cholecystitis. 27 patients had single stone. None of them had dilated biliary tree or stone in common bile duct. Most of the patients (41 patients, 78.85%) had leucocyte count (Table-3) between 11000- 13000/cmm, 4 (26.92%) had 13000-15000/cmm and rest seven patients had normal leucocyte count. Conclusion: Early surgery for acute calculous cholecystitis and acute biliary discomfort had a better prognosis than delayed treatment. Acute biliary pain patients benefit from early surgery to prevent read mission, however laparoscopic surgeries in the acute and elective context had a comparable conversion rate. Laparoscopic cholecystectomy is doable and useful provided the patient has the proper support and skill.