Early vs. Delayed Laparoscopic Cholecystectomy in Acute Calculous Cholecystitis: A Comparative Analysis of Outcomes and Complications
DOI:
https://doi.org/10.55489/njmr.150120251013Keywords:
Laparoscopic Cholecystectomy, Calculous Cholecystitis, Acute, ComplicationsAbstract
Background: This study compares early laparoscopic cholecystectomy (ELC) and delayed laparoscopic cholecystectomy (DLC) in patients with acute calculous cholecystitis to determine the optimal timing for surgery. The study aims to assess the outcomes, complications, and safety of both approaches.
Methods: A prospective, comparative study was conducted on 94 patients diagnosed with acute calculous cholecystitis. Patients were randomized into two groups: ELC (Group E), performed within 72 hours of symptom onset, and DLC (Group D), performed 6–12 weeks after initial conservative management. Data on demographic characteristics, clinical features, intraoperative findings, and postoperative outcomes were collected and analyzed. Statistical analysis was conducted using SPSS software, with significance set at p <0.05.
Results: ELC was associated with a shorter total hospital stay and reduced complications compared to DLC. However, the Group D showed a higher rate of conversion to open cholecystectomy and longer operative time. Both groups had similar rates of bile duct injuries and postoperative infections. No significant difference was observed in mortality between the two groups.
Conclusion: ELC is a safe and effective approach for acute calculous cholecystitis, offering benefits in reduced hospital stay and complications. DLC, while feasible, may lead to increased operative challenges and longer recovery times.
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