[Abstract] [PDF] [HTML] [Linked
International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 16, Issue 1, Aug 2015 pp 88-91
Role of early laparoscopic cholecystectomy in acute cholecystitis – A retrospective analysis
Loganathan Mannu1, Habeeb Mohammed Shajahan1, Balakrishnan Varadharajan2, Karunanithi Ramaiah2, Natarajan Ramalingam3
1Associate Professor, 2Professor, 3Assistant Professor, Department of Surgery, Chettinad Hospital and Research Institute, IT Highway, Kelambakkam-603103, Kancheepuram District, Tamil Nadu, INDIA.
Background: Various studies have proposed conflicting opinion about first-line management of patients with Acute Cholecystitis. Results from these studies have evidences for and against the early Laparoscopic Cholecystectomy. The aim of this study is to retrospectively analyse the results of our practise in managing acute Cholecystitis with early Laparoscopic Cholecystectomy. Methods:Data collection from the case records of patients who underwent initial Laparoscopic approach for Acute Cholecystitis. Various parameters assessed are conversion rate, operating time, length of hospital stay, bile duct injury and port site infection as predictors of efficiency of early laparoscopic approach. Results: The analysis included 95 patients, 57 females and 38 males, average age was 52 years. Mean duration of symptoms before intervention was 64 hours. Mean operating time was 96 minutes. Over all conversion rate was 16.8%, which decreased substantially from year 1 through till the end of study period. Length of hospital stay was 3-7 days (Mean =4.6 days). Postoperative complication occurred in 7 patients (2 cases of cystic duct leak and 5 cases of port site infection). Conclusion: Early laparoscopic approach has yielded comparable results in terms of operating time, conversion rate, and complication rates, while the total length of hospital stay was substantially reduced when compared with total hospital stay in delayed approach from other studies.