To Observe the Outcomes of Early versus Delayed Laparoscopic Cholecystectomy in Patients Presented with Acute Cholecystitis

Abstract

Objective: To compare the outcomes between early versus delayed laparoscopic cholecystectomy in patients with acute cholecystitis.

Study Design: Observational study

Place and Duration of Study: This study was conducted at the Department of Surgery, Unit-1, Sandeman Provincial Civil Hospital, Quetta from 1^st January 2017 to 31^st December 2018.

Materials and Methods: One hundred and forty patients of both genders presented with acute cholecystitis were included in this study. Patient ages were ranging from 15 to 60 years. Patients were divided into two groups Group I received early cholecystectomy within <6 days after diagnosis and Group II received delayed cholecystectomy after 4 to 6 weeks of diagnosis. Outcomes were recorded such as operative and post operative complications, conversion to open surgery, hospital stay and return to routine activity.

Results: Ninety eight (70%) patients were females while 42 (30%) were males. 52 (37.14%) patients were ages between 15 to 30 years, 58 (41.43%) had ages 31 to 45 years and 30 (21.43%) patients were ages 46 to 60 years. Conversion to open cholecystectomy, preoperative complications and post-operative complications, length of hospital stay were significantly less in early cholecystectomy than delayed cholecystectomy p-value <0.05.

Conclusion: Early laparoscopic cholecystectomy shows better results as compared to delayed laparoscopic cholecystectomy.