Publication:

Laparoscopic cholecystectomy in acute calculus cholecystitis

Background Acute calculus cholecystitis was traditionally treated conservatively followed by open interval cholecystectomy. Laparoscopy has revolutionized abdominal surgeries. Laparoscopic cholecystectomy is gold standard in management of cholelithiasis. Role of laparoscopic cholecystectomy in acute calculus cholecystitis is still controversial. Present study is evaluating the role of Laparoscopic cholecystectomy as treatment of acute calculus cholelithiasis.

Methods An observational study was conducted at tertiary care academic hospital and a total of 33 patients were enrolled. Patient with acute abdomen clinically and ultrasonologically diagnosed as acute cholecystitis were included as case. Exclusion criteria included patients with Acalculus cholecystitis, Choledocholithiasis, obstructive jaundice, Cholangitis and pregnant patients. The study factor was standard four port laparoscopic cholecystectomy was performed within 72 hours of onset all patients. The primary outcomes were operative time, intra-operative complications, conversion to open surgery and secondary outcome was postoperative complications.

Results A total of 33 cases were enrolled. The mean age of the patients was 44.00±12.2 years (26-68 years) with female preponderance Mean duration of pain was 1.16 days. Mean Operative time was 102.06±10.36 minutes (60-142 minutes). Post-operative surgical site infection present with 4 (12.1%) patients and post-operative fever in 5 (15.2%) patients. The mean hospital stay was 5.30±1.42 days. The open conversion rate was 9.1% and there were no complications.

Conclusions Laparoscopic cholecystectomy in acute calculus cholecystitis is a safe operative procedure.