Early and delayed Laparoscopic Cholecystectomy of Acute Cholecystitis in Department of Surgery, Faculty of Medicine, University of Misurata at period between 2018-2021
الكلمات المفتاحية:
Laprascopic cholecystectomy، acute cholecytitis، delayed cholecystectomyالملخص
Background: Early laparoscopic cholecystectomy has been approved as the treatment of choice for acute cholecystitis because of shorter hospital stay and no increased morbidity when compared to delayed cholecystectomy, That's why Many surgeons prefer to do early laparoscopic cholecystectomy (within 3 days from starting symptoms) for treatment of acute cholecystitis. Her in my study we will compare between early (within 72hr) and elective(after 72hr) laparoscopic cholecystectomy of acute cholecystitis in all age group (young, adult, or elderly patients).
Methods: Laparoscopic cholecystectomy was performed within 72 hours of symptoms in 84 patients (group 1) and after 72 hours in 116 patients (group 2).
The result of our study reveal relatively no difference between two groups in postoperative analgesia requirements, the rate of conversion ,or postoperative complications. But in the group 1 (early LC) had longer operating time, and shorter hospital stay. Most studies published in international literature show a statistically significant difference in the total hospital stay.
المراجع
V. Mudhale , S. Dige , U. Ghate , B. Kadalge P. Phatak. 1DY Patil Medical College Kolhapur, India A comparative study of early versus delayed laparoscopic cholecystectomy for acute cholecystitis The Sri Lanka Journal of Surgery 2023; 41(2): 17 - 20
Menahem B, Mulliri A, Fohlen A, et al. Delayed laparoscopic cholecystectomy increases the total hospital stay compared to an early laparoscopic cholecystectomy after acute cholecystitis: an updated meta-analysis of randomized controlled trials. HPB (Oxford) 2015; 17:857–862..
Stevens KA, Chi A, Lucas LC, Porter JM, Wiliams MD. Immediate laparoscopic cholecystectomy for acute cholecystitis: no need to wait. Am J Surg. 2006;192:756-761.
Hunter JG. Acute cholecystitis revisited; Get it while it is hot. Ann Surg. 1998;227:468-9.
Graves HA, Jr, Ballinger JF, Anderson WJ. Appraisal of laparoscopic cholecystectomy. Ann Surg. 1991;213:655-661
Kum CK, EypaschE, LeferingR, Paul A, Neugebauer E, Troidl H. Laparoscopic cholecystectomy for acute cholecystitis: is it really safe? World J Surg. 1996;20:43-49.
Zhou M, Gu X, Xiang J, Chen Z. Comparison of clinical safety and outcomes of early versus delayed laparoscopic cholecystectomy for acute cholecystitis: A meta-analysis. The Scientific World Journal. 2014; 2014:1-8. 4.
Al Salamah SM. Outcome of laparoscopic cholecystectomy in acute cholecystitis. J Coll Physicians Surg Pak. 2005;15:400-3.
Minutolo, Licardello, Arena et al. Laparoscopic cholecystectomy in the treatment of acute cholecystitis: Comparison of outcomes and cause between early and delayed cholecystectomy. J European Review For Medical and Pharmacological Sciences 2014;18 Suppl 2) :40-46
Yamashita Y, Takada T, KawaradaY, Nimura Y, Hirota M, Miura F, et al. Surgical treatment of patients with acute cholecystitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg. 2007;14:91-7.
Roulin, Didier SA, Di Mare, Luca DN and Halkic NR (2016): Timing and choice of intervention influences outcome in acute cholecystitis Annals of Surgery., 164(5): 717-722.
التنزيلات
منشور
كيفية الاقتباس
إصدار
القسم
الرخصة
الحقوق الفكرية (c) 2025 Esam Alsaghair
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