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INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016 open access , Peer-reviewed, and Refereed Journals, Impact factor 8.15 |
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| Paper Title: | Emergency Vs. Delayed Cholecystectomy in acute cholecystitis- Hospital based prospective randomized comparative study |
| Authors Name: | Dr. Akshay Balaji , Dr.Asaya Bosco Chandra |
| Unique Id: | IJSDR2308081 |
| Published In: | Volume 8 Issue 8, August-2023 |
| Abstract: | Background: Acute cholecystitis is a very common gastrosurgical emergency. 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 higher morbidity and conversion rate when LC is performed in acute cholecystitis. Aim and objective: To compare the various parameters and outcomes between early and delayed laparoscopic cholecystectomies with safety and feasibility evaluation. Materials and methods: A prospective, randomized controlled, interventional study was conducted from October 2021 to December 2022. Patients with a diagnosis of acute cholecystitis post-randomization were assigned into the early group (n = 50; LC within 72 hours of admission) and the delayed group (n = 50; initial conservative treatment followed by delayed LC 6–12 weeks later). The primary outcome measures were intraoperative and postoperative complications (bile duct injuries, bile leak, and wound infection), morbidity, mortality conversion, and length of hospital stay. The secondary outcome measures were the mean duration of surgery, the mean blood loss, other complications (subhepatic collection, postoperative pneumonia), and unsuccessful nonoperative management. Results: In our study, the conversion rate in early laparoscopic cholecystectomy (ELC) group was 5 (10%) and delayed laparoscopic cholecystectomy (DLC) group was 7 (14%), respectively. The mean operative time was 77.30 ± 20.078 vs 66.94 ± 29.501 minutes; p <0.001 in ELC and DLC groups, respectively; the mean blood loss was 82.60 ± 59.67 vs 65.40 ± 74.21; p <0.007 in ELC and DLC groups, respectively. Conclusion: Early cholecystectomy is safe and feasible in patients with acute cholecystitis. |
| Keywords: | Acute cholecystitis, Cholecystectomy, Early cholecystectomy, Laparoscopic |
| Cite Article: | "Emergency Vs. Delayed Cholecystectomy in acute cholecystitis- Hospital based prospective randomized comparative study", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.8, Issue 8, page no.552 - 559, August-2023, Available :http://www.ijsdr.org/papers/IJSDR2308081.pdf |
| Downloads: | 000338720 |
| Publication Details: | Published Paper ID: IJSDR2308081 Registration ID:206583 Published In: Volume 8 Issue 8, August-2023 DOI (Digital Object Identifier): Page No: 552 - 559 Publisher: IJSDR | www.ijsdr.org ISSN Number: 2455-2631 |
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