Effect of early laparoscopic Cholecystectomy in Acute Cholecystitis

Background: Laparoscopic cholecystectomy (LC) has become the treatment of choice for elective cholecystectomy.Objectives: To evaluate the safety and feasibility of early LC for AC and to compare the results with delayed LC.Methods: A prospective study done from April 2011 to October 2013, 88 patien...

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Main Authors: Abdulhameed J. Ali, Arkan A. AL-Ogali, Hala I. Salih, Abdalrahman H. Turfa
Format: Article
Language:English
Published: University of Baghdad/ Al-Kindy College of Medicine 2014-06-01
Series:مجله كليه طب الكندي
Subjects:
Online Access:https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/450
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author Abdulhameed J. Ali
Arkan A. AL-Ogali
Hala I. Salih
Abdalrahman H. Turfa
author_facet Abdulhameed J. Ali
Arkan A. AL-Ogali
Hala I. Salih
Abdalrahman H. Turfa
author_sort Abdulhameed J. Ali
collection DOAJ
description Background: Laparoscopic cholecystectomy (LC) has become the treatment of choice for elective cholecystectomy.Objectives: To evaluate the safety and feasibility of early LC for AC and to compare the results with delayed LC.Methods: A prospective study done from April 2011 to October 2013, 88 patients with diagnosis of AC were divided randomly into two groups according to the mode of treatment; (early group n=40) treated by early LC within first 72 hours or (delayed group, n=48) initial conservative treatment for 4-6 weeks, followed by delayed LC.Results: There was no difference between the two groups (early & delayed LC), operating time (early 80min, delayed70min), conversion rate (early 7.5%, delayed 6.25%),postoperative complications (early 20%, delayed 14.58%),However, the early group had shorter mean hospital stay(early 2.5 days, delay 5 days).Conclusion: early laparoscopic cholecystectomy appears to be reliable, safe, and cost effective treatment modality for acute cholecystitis, offering the additional benefits of a shorter hospital stay.Keywords: Acute cholecystitis, early LC, delayed LC.
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spelling doaj.art-3b14cf67e3324f64b2ffc2bdb911c9ca2022-12-22T04:02:44ZengUniversity of Baghdad/ Al-Kindy College of Medicineمجله كليه طب الكندي1810-95432521-43652014-06-01102Effect of early laparoscopic Cholecystectomy in Acute CholecystitisAbdulhameed J. AliArkan A. AL-OgaliHala I. SalihAbdalrahman H. Turfa Background: Laparoscopic cholecystectomy (LC) has become the treatment of choice for elective cholecystectomy.Objectives: To evaluate the safety and feasibility of early LC for AC and to compare the results with delayed LC.Methods: A prospective study done from April 2011 to October 2013, 88 patients with diagnosis of AC were divided randomly into two groups according to the mode of treatment; (early group n=40) treated by early LC within first 72 hours or (delayed group, n=48) initial conservative treatment for 4-6 weeks, followed by delayed LC.Results: There was no difference between the two groups (early & delayed LC), operating time (early 80min, delayed70min), conversion rate (early 7.5%, delayed 6.25%),postoperative complications (early 20%, delayed 14.58%),However, the early group had shorter mean hospital stay(early 2.5 days, delay 5 days).Conclusion: early laparoscopic cholecystectomy appears to be reliable, safe, and cost effective treatment modality for acute cholecystitis, offering the additional benefits of a shorter hospital stay.Keywords: Acute cholecystitis, early LC, delayed LC. https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/450Acute cholecystitisearly LCdelayed LC.
spellingShingle Abdulhameed J. Ali
Arkan A. AL-Ogali
Hala I. Salih
Abdalrahman H. Turfa
Effect of early laparoscopic Cholecystectomy in Acute Cholecystitis
مجله كليه طب الكندي
Acute cholecystitis
early LC
delayed LC.
title Effect of early laparoscopic Cholecystectomy in Acute Cholecystitis
title_full Effect of early laparoscopic Cholecystectomy in Acute Cholecystitis
title_fullStr Effect of early laparoscopic Cholecystectomy in Acute Cholecystitis
title_full_unstemmed Effect of early laparoscopic Cholecystectomy in Acute Cholecystitis
title_short Effect of early laparoscopic Cholecystectomy in Acute Cholecystitis
title_sort effect of early laparoscopic cholecystectomy in acute cholecystitis
topic Acute cholecystitis
early LC
delayed LC.
url https://jkmc.uobaghdad.edu.iq/index.php/MEDICAL/article/view/450
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AT halaisalih effectofearlylaparoscopiccholecystectomyinacutecholecystitis
AT abdalrahmanhturfa effectofearlylaparoscopiccholecystectomyinacutecholecystitis