Background: Due to fear of increase morbidity and high rates of conversion to open surgery laparoscopic cholecystectomy was not advised in patients with acute cholecystitis previously. At the present time, acute cholecystitis is a well-known cause of acute abdominal pain and the ultimate treatment is laparoscopic cholecystectomy. But the concern that is when to perform surgery is still controversial. The aim of present study is to find out if laparoscopic cholecystectomy can be carried out for acute cholecystitis irrespective of the time since onset of acute symptoms. Methods: A total of 200 laparoscopic cholecystectomies were performed for acute cholecystitis and evaluated for duration of surgery, biliary and other organ injury, conversion rates and postoperative stay by chi square test and paired t-tests using SPSS software. 80 patients underwent laparoscopic cholecystectomy within 48 h to seven days of beginning of symptoms (group A) and 95 patients underwent surgery after 6 weeks of beginning of symptoms (group B). Results: the duration of surgery was comparable in both groups but there were no significant difference in conversions of major biliary or other organ injury in any of the two groups. Postoperative stay was also comparable between the two groups but total hospital stay was significantly reduced in group A as compared to group B thus, total cost is also reduced. Conclusion: Laparoscopic cholecystectomy can be performed anytime of presentation of acute cholecystitis. Although delaying laparoscopic cholecystectomy was associated with more complications, higher mortality, and higher costs.
Key words: Acute cholecystitis, Timing of surgery, Laparoscopic cholecystectomy.
Received: 8 January, 2019 Revised: 17 February, 2019 Accepted: 18 February, 2019
Corresponding Author: Dr. Manoj Kumar Srivastava, Assistant professor, Department of General Surgery, Hind Institute of medical science Ataria Sitapur U.P., India.
This article may be cited as: Maurya AK, Srivastava MK. Evaluation of optimal time for laparoscopic cholecystectomy following acute cholecystitis attack. J Adv Med Dent Scie Res 2019;7(5): 4-6.