Assessment of surgical outcome from laparoscopic versus open cholecystectomy during 1st week of acute cholecystitis

Abstract

Acute cholecystitis is inflammation of the gallbladder, which is the most common complication of gallstones, which requires hospitalization and immediate intervention. Its symptoms include pain in the upper right part of the abdomen, nausea, vomiting, and sometimes fever. Often attacks of the gallbladder (biliary colic) precede acute cholecystitis; without proper treatment, common recurrent bouts of cholecystitis occur. Complications include acute cholecystitis (pancreatitis gallstones, common bile duct stones, and common bile duct inflammation). More than 90% of acute cholecystitis cases are caused by the blockage of the cystic duct by stones. Diagnosis of cholecystitis based on symptoms and laboratory tests. An abdominal ultrasound is usually used to confirm the diagnosis. The high recurrence of gallstones complications after initial hospitalization requires surgical removal of the gallbladder, either early or late However, the medical history of patients who are unable to undergo a cholecystectomy at the beginning of their medical examination presents a unique set of challenges such as the delay in attending the medical examination, as well as the diseases accompanying them and thus increase the complications and morbidity related to the presence of stones.