Assessment Of Interval And Early Cholecystectomy In Acute Cholecystitis
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 8, Pages 1798-1802
AbstractBackground: Acute cholecystitis is a common emergency surgical condition that is characterized by inflammation of the gallbladder secondary to an obstruction in the gallbladder neck, often resulting from cholelithiasis. The present study was conducted to compare interval and early cholecystectomy in acute cholecystitis.
Materials & Methods:90 patients of acute cholecystitis were divided into 2 groups. Group I patients were treated with early cholecystectomy and group II patients with interval cholecystectomy.Parameter such as hospital stay, complications etc. were recorded.
Results: Group I had 22 males and 23 females and group II had 24 males and 21 females. Type of operation performed was lap cholecystectomy in 37 and 34 in group I and II respectively. Lap to open conversion was observed in 3 in group I and 6 in group II. The hospital stay was 1-5 days in 28 in group I and 18 in group II, 5-10 days in 7 in group I and 12 in group II and >10 days 5 in group I and 10 in group II. The difference was significant (P< 0.05). complications observed were biliary leaks in 3 in group I and 6 in group II, wound infection in 4 in group I and 5 in group II and stricture 1 in group I and 2 in group II. The difference was significant (P< 0.05).
Conclusion: Early cholecystectomy hadless total hospital stay and complications than interval cholecystectomy in patients with acute cholecystitis.
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