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Comparison of Early and Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis: Experience from A Single Center
BACKGROUND: Cholecystectomy for symptomatic gallstones is mainly performed after the acute cholecystitis episode settles because of the fear of higher morbidity and conversion from laparoscopic cholecystectomy to open cholecystectomy during acute cholecystitis. AIMS: To evaluate the safety and feasi...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3759068/ https://www.ncbi.nlm.nih.gov/pubmed/24020050 http://dx.doi.org/10.4103/1947-2714.115783 |
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author | Gul, Rouf Dar, Rayees Ahmad Sheikh, Riyaz Ahmad Salroo, Nazir Ahmad Matoo, Adnan Rashid Wani, Sabiya Hamid |
author_facet | Gul, Rouf Dar, Rayees Ahmad Sheikh, Riyaz Ahmad Salroo, Nazir Ahmad Matoo, Adnan Rashid Wani, Sabiya Hamid |
author_sort | Gul, Rouf |
collection | PubMed |
description | BACKGROUND: Cholecystectomy for symptomatic gallstones is mainly performed after the acute cholecystitis episode settles because of the fear of higher morbidity and conversion from laparoscopic cholecystectomy to open cholecystectomy during acute cholecystitis. AIMS: To evaluate the safety and feasibility of laparoscopic cholecystectomy for acute cholecystitis and to compare the results with delayed cholecystectomy. MATERIALS AND METHODS: This was a prospective and randomized study. For patients assigned to early group, laparoscopic cholecystectomy was performed as soon as possible within 72 hours of admission. Patients in the delayed group were treated conservatively and discharged as soon as the acute attack subsided. They were subsequently readmitted for elective laparoscopic cholecystectomy 6-12 weeks later. RESULTS: There was no significant difference in the conversion rates, postoperative analgesia requirements, or postoperative complications. However, the early group had significantly more blood loss, more operating time, and shorter hospital stay. CONCLUSION: Early laparoscopic cholecystectomy within 72 hours of onset of symptoms has both medical as well as socioeconomic benefits and should be the preferred approach for patients managed by surgeons with adequate experience in laparoscopic cholecystectomy. |
format | Online Article Text |
id | pubmed-3759068 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-37590682013-09-09 Comparison of Early and Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis: Experience from A Single Center Gul, Rouf Dar, Rayees Ahmad Sheikh, Riyaz Ahmad Salroo, Nazir Ahmad Matoo, Adnan Rashid Wani, Sabiya Hamid N Am J Med Sci Original Article BACKGROUND: Cholecystectomy for symptomatic gallstones is mainly performed after the acute cholecystitis episode settles because of the fear of higher morbidity and conversion from laparoscopic cholecystectomy to open cholecystectomy during acute cholecystitis. AIMS: To evaluate the safety and feasibility of laparoscopic cholecystectomy for acute cholecystitis and to compare the results with delayed cholecystectomy. MATERIALS AND METHODS: This was a prospective and randomized study. For patients assigned to early group, laparoscopic cholecystectomy was performed as soon as possible within 72 hours of admission. Patients in the delayed group were treated conservatively and discharged as soon as the acute attack subsided. They were subsequently readmitted for elective laparoscopic cholecystectomy 6-12 weeks later. RESULTS: There was no significant difference in the conversion rates, postoperative analgesia requirements, or postoperative complications. However, the early group had significantly more blood loss, more operating time, and shorter hospital stay. CONCLUSION: Early laparoscopic cholecystectomy within 72 hours of onset of symptoms has both medical as well as socioeconomic benefits and should be the preferred approach for patients managed by surgeons with adequate experience in laparoscopic cholecystectomy. Medknow Publications & Media Pvt Ltd 2013-07 /pmc/articles/PMC3759068/ /pubmed/24020050 http://dx.doi.org/10.4103/1947-2714.115783 Text en Copyright: © North American Journal of Medical Sciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Gul, Rouf Dar, Rayees Ahmad Sheikh, Riyaz Ahmad Salroo, Nazir Ahmad Matoo, Adnan Rashid Wani, Sabiya Hamid Comparison of Early and Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis: Experience from A Single Center |
title | Comparison of Early and Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis: Experience from A Single Center |
title_full | Comparison of Early and Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis: Experience from A Single Center |
title_fullStr | Comparison of Early and Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis: Experience from A Single Center |
title_full_unstemmed | Comparison of Early and Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis: Experience from A Single Center |
title_short | Comparison of Early and Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis: Experience from A Single Center |
title_sort | comparison of early and delayed laparoscopic cholecystectomy for acute cholecystitis: experience from a single center |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3759068/ https://www.ncbi.nlm.nih.gov/pubmed/24020050 http://dx.doi.org/10.4103/1947-2714.115783 |
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