Journal of AdvancedMedical and Dental Sciences Research

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 evaluate the safety and feasibility of early LC for acute cholecystitis and to compare the results with delayed LC. Methods: A total of 150 laparoscopic cholecystectomies were performed for acute cholecystitis and evaluated for duration of surgery, postoperative stay, intraoperative and postoperative complications  stay by chi square test and paired t-tests using SPSS software. 75 patients underwent laparoscopic cholecystectomy within 48 h to seven days of beginning of symptoms (group A) and 75 patients underwent surgery after 6 weeks of beginning of symptoms (group B).  Results: Total hospital stay was significantly reduced in group A as compared to group B thus, reducing the overall total cost. We found in our study that the conversion rate in early laparoscopic cholecystectomy and delayed laparoscopic cholecystectomy was 6.66% and 4%, respectively, this difference is insignificant. Conclusion: Early cholecystectomy significantly reduces the duration of hospital stay and costs in patients with acute cholecystitis. Laparoscopic cholecystectomy can be performed anytime of presentation of acute cholecystitis. Although delaying laparoscopic cholecystectomy was associated with more complications and higher costs
Key words: Acute cholecystitis, Timing of surgery and Laparoscopic cholecystectomy.

Received: 15 May, 2019                            Revised:  02 June 2019                             Accepted: 05 June 2019

Corresponding author: Dr. Manoj Kumar Sharma, Assistant Professor, Department of General Surgery, Govt. Medical College Datia, M.P. , India
This article may be cited as: Badal RK, Sharma MK. Assessment of Early versus Delayed Laparoscopic Cholecystectomy in Acute Cholecystitis. J Adv Med Dent Scie Res 2019;7(8): 227-229.