Abstract

With the increasing experience of surgeons with laparoscopic procedures and advances in imaging techniques and operating instruments, laparoscopic cholecystectomy is increasingly applicable in the setting of acute cholecystitis. The timing of laparoscopic cholecystectomy (LC) in cases of acute cholecystitis is still a matter of debate. In general, delayed LC is preferred because of the higher morbidity and conversion rate when LC is performed in acute cholecystitis. Aim and Objective: The present study was conducted to compare the clinical outcomes of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Material and Method: A prospective study was conducted at Rani Durgawati Medical College, Banda, UP. A total of 80 patients with the diagnosis of acute cholecystitis were enrolled in the study. The patients were equally divided into two groups: 40 underwent early laparoscopic cholecystectomy within 72 hours of admission (Group A) and the next 40 underwent delayed laparoscopic cholecystectomy after 6-8 weeks of conservative management (Group B). Result: Our results show data from eighty patients who underwent laparoscopic cholecystectomy. The mean age of the patient in Group A was 41.57± 5.02 years whereas in Group B it was 43.10 ± 5.30 years. In Group A there were 25 females among 15 male patients whereas In Group B there were 28 females and 12 male patients. The mean duration of operative time in Group A was 90.22±2.81 minutes whereas in Group B it was 80.97±4.47 minutes which was statistically significant (P < 0.001). Conclusion: To conclude our study, early laparoscopic cholecystectomy seems safe, shortens the total hospital stay, and is cost-effective because there is no need for second hospital admission as well as second treatment.

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