Outcomes of Early Laparoscopic Cholecystectomy in Patients of Acute Cholecystitis

Abstract

Aim: To determine the operative outcomes of early laparoscopic cholecystectomy (LC) in patients of acute cholecystitis. Methods: This observational study was conducted in Shalamar Hospital Lahore within a duration of nine months from November 2016 to July 2017. One hundred and eight (108) patients of acute cholecystitis having age 20-70 years were selected in this analysis. All these patients underwent early laparoscopic cholecystectomy (LC). Reactionary bleeding, conversion of OC, in-hospital mortality and hospital stay were main study endpoints. Results: Mean age of AC patients was 55.1±12.5 years. Most of the patients 52.8% were having age more than 50 years. There were more 65.8% females and only 34.2% males. Mean operation time was 70.3±12.8 minutes. Regarding complications, conversion to OC was the commonest complication was in cadence rate of 1.8%. Reactional bleeding occurred in 1(0.9%) patients. Mean hospital stay of patients after surgery was 2.12±1.1 days. Pneumonia occurred in 2(1.8%) patients and UTI in one patient. There was no incidence of bile duct injury. There was no incidence of in-hospital death. Conclusion: Early laparoscopic cholecystectomy is a safe and effective procedure for the management of acute cholecystitis.