A Comparative Study Between Early Versus Delayed Laparoscopic Cholecystectomy in Cases of Acute Calcular Cholecystitis

Abstract

A cute cholecystitis (AC) is one of the important causes of abdominal pain on presentation to the emergency department. Early diagnosis and treatment of AC has a positive effect on morbidity and mortality. The standard treatment for symptomatic cholecystitis associated with gallstones is cholecystectomy. Laparoscopic cholecystectomy (LC) has replaced conventional open cholecystectomy and has become the gold standard of treatment for acute cholecystitis (AC). In recent years, laparoscopic surgery has been confirmed to be preferable to open surgery in elective cholecystectomy cases. Open cholecystectomy (OC) used to be preferred because of the technical difficulties and the high complication rates associated with LC. However, several studies have shown that LC is safe and can be recommended as a form of cholecystectomy. Over the years, it has been claimed that AC can be primarily treated conservatively and then followed by delayed elective cholecystectomy. In recent decades, evidence has been gathered to show that early cholecystectomy for AC during the acute hospital stay is safe and cost-effective In this study, thirty patients had been included with acute calcular cholecystitis, they had been classified randomly into two groups, fifteen patients in each group.