THE STUDY OF CHOLECYSTECTOMY (OPEN? LAP) IN ACUTE CALCULOUS CHOLECYSTITIS

• Published in: Journal of evolution of medical and dental sciences Vol. 5; no. 101; pp. 7400 - 7404
• Main Authors: Ananda, B.B, Ramesh, B.S, Sai Kumar, H.R, Safarulla, S.H, Parthasri, Mallipeddi
• Format: Journal Article
• Language: English
• Published: Akshantala Enterprises Private Limited 19.12.2016
• Subjects: Care and treatment; Cholecystectomy; Cholecystitis; Methods; Patient outcomes
• ISSN: 2278-4748; 2278-4802
• DOI: 10.14260/jemds/2016/1675

BACKGROUND Gallstone is the most common biliary pathology. Optimal surgical timing and operative technique in the treatment of acute cholecystitis are of major importance. We intend with this study to clarify further the timing of surgery for acute calculous cholecystitis, its complications, the cause and rate of conversion to open cholecystectomy. MATERIALS AND METHODS The study was conducted at our hospital from Oct 2012 to November 2014. A total of 55 patients diagnosed with acute calculous cholecystitis were studied for outcome with timing of surgery, conversion rates to open and complications. RESULTS None of the patients who underwent early intervention required conversion to open. 5 patients from delayed intervention group required open conversion. Higher the age more is the incidence of conversion. Post-op infections and complications were more in open. The conversion rate was higher in the delayed intervention group. The operative time was less with open cases; however, the blood loss, hospital stay and cost were higher compared to LC. CONCLUSION The optimal timing of laparoscopic cholecystectomy for acute cholecystitis is within 72 hours of admission. Laparoscopic cholecystectomy is a reliable, safe modality for AC. It should be the first choice before restoring to open surgery. KEYWORDS Acute Cholecystitis, Gallstones, Conversion Rate, Laparoscopic Cholecystectomy, Open Cholecystectomy.