Early versus delayed laparoscopic cholecystectomy with and without percutaneous drainage for complicated acute calculous cholecystitis: A prospective randomized study
Objective: The purpose of this research was to compare surgical consequences of early versus delayed laparoscopic cholecystectomy for complicated acute calculous cholecystitis. Patients and Methods: This prospective randomized work was conducted on 150 patients complaining of complicated acute calcu...
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| Format: | Article |
| Language: | English |
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GESDAV
2018-06-01
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| Series: | Archives of Clinical and Experimental Surgery |
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| Online Access: | http://www.ejmanager.com/fulltextpdf.php?mno=254510 |
| _version_ | 1797910897892524032 |
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| author | Mohamed Ibrahim Kassem |
| author_facet | Mohamed Ibrahim Kassem |
| author_sort | Mohamed Ibrahim Kassem |
| collection | DOAJ |
| description | Objective: The purpose of this research was to compare surgical consequences of early versus delayed laparoscopic cholecystectomy for complicated acute calculous cholecystitis.
Patients and Methods: This prospective randomized work was conducted on 150 patients complaining of complicated acute calculous cholecystitis; presented to the Emergency Department, Alexandria Main University Hospital, Egypt, between January 2011 and January 2017. They were distributed randomly into two groups (75 patients each): Group (A) for early laparoscopic cholecystectomy and Group (B) for delayed laparoscopic cholecystectomy.
Results: There were 42 men and 108 women. Their mean age at diagnosis was 39.6±10.27 years. The timing of surgery since onset of patients complains was ranged from 1.0 to 7.0 days in Group A and from 6 to 10 weeks in Group B. Acute abdominal pain was present in both groups patients. Preoperative CT scan was done for 60 patients (40%) to verify the presence of complications. The mean operative time in Group A and Group B patients were 71.0±26.93 and 38.0±26.25 minutes respectively and there was a statistically significant difference (p>0.054). Laparoscopic cholecystectomy was converted to open procedure in ten patients. The mean hospital stay in patients of Group A was 1.76±1.05 while in patients of Group B was 3.87±2.43 in the first admission and 2.72±1.41 in second admission. There was no major bile duct injury or post-operative obstructive jaundice in either group. In six patients (2 in Group A and 4 in Group B) bile leak was noted from the drain and port sites infections were found in eight patients.
Conclusion: Early laparoscopic cholecystectomy one week from start of symptoms of complicated acute calculous cholecystitis; was safe, feasible, and considered an acceptable indication. [Arch Clin Exp Surg 2018; 7(2.000): 47-58] |
| first_indexed | 2024-04-10T11:31:52Z |
| format | Article |
| id | doaj.art-45b79b0988cc407eae2f32ebbc301b41 |
| institution | Directory Open Access Journal |
| issn | 2146-8133 |
| language | English |
| last_indexed | 2024-04-10T11:31:52Z |
| publishDate | 2018-06-01 |
| publisher | GESDAV |
| record_format | Article |
| series | Archives of Clinical and Experimental Surgery |
| spelling | doaj.art-45b79b0988cc407eae2f32ebbc301b412023-02-15T16:18:01ZengGESDAVArchives of Clinical and Experimental Surgery2146-81332018-06-0172475810.5455/aces.20170503081122254510Early versus delayed laparoscopic cholecystectomy with and without percutaneous drainage for complicated acute calculous cholecystitis: A prospective randomized studyMohamed Ibrahim Kassem0Assistant professor of surgery, Department of Gastrointestinal surgery,Faculty of Medicine, Alexandria University, EgyptObjective: The purpose of this research was to compare surgical consequences of early versus delayed laparoscopic cholecystectomy for complicated acute calculous cholecystitis. Patients and Methods: This prospective randomized work was conducted on 150 patients complaining of complicated acute calculous cholecystitis; presented to the Emergency Department, Alexandria Main University Hospital, Egypt, between January 2011 and January 2017. They were distributed randomly into two groups (75 patients each): Group (A) for early laparoscopic cholecystectomy and Group (B) for delayed laparoscopic cholecystectomy. Results: There were 42 men and 108 women. Their mean age at diagnosis was 39.6±10.27 years. The timing of surgery since onset of patients complains was ranged from 1.0 to 7.0 days in Group A and from 6 to 10 weeks in Group B. Acute abdominal pain was present in both groups patients. Preoperative CT scan was done for 60 patients (40%) to verify the presence of complications. The mean operative time in Group A and Group B patients were 71.0±26.93 and 38.0±26.25 minutes respectively and there was a statistically significant difference (p>0.054). Laparoscopic cholecystectomy was converted to open procedure in ten patients. The mean hospital stay in patients of Group A was 1.76±1.05 while in patients of Group B was 3.87±2.43 in the first admission and 2.72±1.41 in second admission. There was no major bile duct injury or post-operative obstructive jaundice in either group. In six patients (2 in Group A and 4 in Group B) bile leak was noted from the drain and port sites infections were found in eight patients. Conclusion: Early laparoscopic cholecystectomy one week from start of symptoms of complicated acute calculous cholecystitis; was safe, feasible, and considered an acceptable indication. [Arch Clin Exp Surg 2018; 7(2.000): 47-58]http://www.ejmanager.com/fulltextpdf.php?mno=254510Early laparoscopic cholecystectomydelayed laparoscopic cholecystectomycomplicated acute calculous cholecystitisconversion rates |
| spellingShingle | Mohamed Ibrahim Kassem Early versus delayed laparoscopic cholecystectomy with and without percutaneous drainage for complicated acute calculous cholecystitis: A prospective randomized study Archives of Clinical and Experimental Surgery Early laparoscopic cholecystectomy delayed laparoscopic cholecystectomy complicated acute calculous cholecystitis conversion rates |
| title | Early versus delayed laparoscopic cholecystectomy with and without percutaneous drainage for complicated acute calculous cholecystitis:
A prospective randomized study |
| title_full | Early versus delayed laparoscopic cholecystectomy with and without percutaneous drainage for complicated acute calculous cholecystitis:
A prospective randomized study |
| title_fullStr | Early versus delayed laparoscopic cholecystectomy with and without percutaneous drainage for complicated acute calculous cholecystitis:
A prospective randomized study |
| title_full_unstemmed | Early versus delayed laparoscopic cholecystectomy with and without percutaneous drainage for complicated acute calculous cholecystitis:
A prospective randomized study |
| title_short | Early versus delayed laparoscopic cholecystectomy with and without percutaneous drainage for complicated acute calculous cholecystitis:
A prospective randomized study |
| title_sort | early versus delayed laparoscopic cholecystectomy with and without percutaneous drainage for complicated acute calculous cholecystitis a prospective randomized study |
| topic | Early laparoscopic cholecystectomy delayed laparoscopic cholecystectomy complicated acute calculous cholecystitis conversion rates |
| url | http://www.ejmanager.com/fulltextpdf.php?mno=254510 |
| work_keys_str_mv | AT mohamedibrahimkassem earlyversusdelayedlaparoscopiccholecystectomywithandwithoutpercutaneousdrainageforcomplicatedacutecalculouscholecystitisaprospectiverandomizedstudy |