Laparoscopic cholecystectomy is feasible and safe in acute cholecystitis

Objective: To assess the feasibility and safety of laparoscopic cholecystectomy in acute cholecystitis. Subjects and Methods: Between June 1993 and December 1996, 424 consecutive patients underwent laparoscopic cholecystectomy; 45 (10.6%) had acute cholecystitis confirmed by ultrasound. R...

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Main Author: Al-Mulhim Abdulmohsen
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 1999-01-01
Series:The Saudi Journal of Gastroenterology
Online Access:http://www.saudijgastro.com/article.asp?issn=1319-3767;year=1999;volume=5;issue=2;spage=56;epage=60;aulast=Al-Mulhim
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author Al-Mulhim Abdulmohsen
author_facet Al-Mulhim Abdulmohsen
author_sort Al-Mulhim Abdulmohsen
collection DOAJ
description Objective: To assess the feasibility and safety of laparoscopic cholecystectomy in acute cholecystitis. Subjects and Methods: Between June 1993 and December 1996, 424 consecutive patients underwent laparoscopic cholecystectomy; 45 (10.6%) had acute cholecystitis confirmed by ultrasound. Results: All 45 patients were opened within 72 hours of admission. Conversion to open cholecystectomy was necessary in three patients (6.7%). The mean operating time was 126 minutes (range: 40-300 minutes). There was no mortality or common bile duct injury in this series. The postoperative stay averaged 3.9 days (range: I to 11 days). There was no delayed morbidity after a mean follow-up of 2 years. Conclusion: Laparoscopic cholecystectomy is feasible and safe in patients with acute cholecystitis, provided it is performed by experienced surgeons. Although the procedure is somewhat lengthy, it is associated with low conversion rate, no serious morbidity and zero mortality.
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spelling doaj.art-b98b69ba0ed54e01aac510dfa42d50012022-12-21T20:40:02ZengWolters Kluwer Medknow PublicationsThe Saudi Journal of Gastroenterology1319-37671999-01-01525660Laparoscopic cholecystectomy is feasible and safe in acute cholecystitisAl-Mulhim AbdulmohsenObjective: To assess the feasibility and safety of laparoscopic cholecystectomy in acute cholecystitis. Subjects and Methods: Between June 1993 and December 1996, 424 consecutive patients underwent laparoscopic cholecystectomy; 45 (10.6%) had acute cholecystitis confirmed by ultrasound. Results: All 45 patients were opened within 72 hours of admission. Conversion to open cholecystectomy was necessary in three patients (6.7%). The mean operating time was 126 minutes (range: 40-300 minutes). There was no mortality or common bile duct injury in this series. The postoperative stay averaged 3.9 days (range: I to 11 days). There was no delayed morbidity after a mean follow-up of 2 years. Conclusion: Laparoscopic cholecystectomy is feasible and safe in patients with acute cholecystitis, provided it is performed by experienced surgeons. Although the procedure is somewhat lengthy, it is associated with low conversion rate, no serious morbidity and zero mortality.http://www.saudijgastro.com/article.asp?issn=1319-3767;year=1999;volume=5;issue=2;spage=56;epage=60;aulast=Al-Mulhim
spellingShingle Al-Mulhim Abdulmohsen
Laparoscopic cholecystectomy is feasible and safe in acute cholecystitis
The Saudi Journal of Gastroenterology
title Laparoscopic cholecystectomy is feasible and safe in acute cholecystitis
title_full Laparoscopic cholecystectomy is feasible and safe in acute cholecystitis
title_fullStr Laparoscopic cholecystectomy is feasible and safe in acute cholecystitis
title_full_unstemmed Laparoscopic cholecystectomy is feasible and safe in acute cholecystitis
title_short Laparoscopic cholecystectomy is feasible and safe in acute cholecystitis
title_sort laparoscopic cholecystectomy is feasible and safe in acute cholecystitis
url http://www.saudijgastro.com/article.asp?issn=1319-3767;year=1999;volume=5;issue=2;spage=56;epage=60;aulast=Al-Mulhim
work_keys_str_mv AT almulhimabdulmohsen laparoscopiccholecystectomyisfeasibleandsafeinacutecholecystitis