Comparison between Early & Delayed Laparoscopic Cholecystectomy in Acute Cholecystitis (Post-Operative Outcomes)

Prof. Mustafa Ekhil, FRCS, *Dr. Joumoua M. Rian, MD

 

Head of Department of Surgery, Zliten Medical Center (ZMC), Libya

*Department of Surgery, Zliten Medical Center (ZMC), Libya

 

*Corresponding author: Dr. Joumoua M. Rian, Department of Surgery, Zliten Medical Center (ZMC), Libya, Email: Intelligent.surgeon@gmail.com  

 

Citation: Joumoua MR (2020) Comparison between Early & Delayed Laparoscopic Cholecystectomy in Acute Cholecystitis (Post-Operative Outcomes. World J Gastroenterol Hepatol Endosc, 3(3); 1-3.

 

Copyright: © 2020, Joumoua MR, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

 

ABSTRACT

 

Acute cholecystitis is the most common cause of hospitalization for gastrointestinal disease & one of the Hepatopancreatobiliary emergencies, 90-95% of cases due to gallbladder stones, worldwide 10-15% of populations have gallbladder stones, only 1-4% become symptomatic each year, laparoscopic cholecystectomy is the definitive treatment. Previously, laparoscopic cholecystectomy was not advised in patient with acute cholecystitis & treated conservatively with the usual approach consists of initial control of inflammation with intravenous antibiotics followed by delayed laparoscopic cholecystectomy 6-8 weeks, this was due to fear of increase morbidity & high rate of conversion to open surgery, also waiting period for surgery will cause more fibrosis, adhesion, hyper vascularity & necrosis with time, also will increase the risk of gallstones morbidity including: CBD stones, Gallstone pancreatitis, recurrent of acute disease

 

KEYWORDS

 

Acute cholecystitis, Early & Delayed laparoscopic cholecystectomy, Post-operative complications, conversion rate

 

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