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Subject Area

Internal Medicine

Article Type

Original Study

Abstract

Objective Our objective is to evaluate safety and efficacy of laparoscopic cholecystectomy (LC) for acute cholecystitis (AC) in the first 7 days of acute attack. Background Gallstone disease constitutes up to 23% of AC, which is a common emergency. LC is the treatment of AC. There is confusion in the optimal timing for LC from the onset of symptoms. Patients and methods A total of 30 patients of AC at Menoufia University Hospital and Kafr El-Dawar General Hospital were selected based on clinical diagnosis, ultrasonographic finding, and laboratory finding for AC. They were divided into two groups: group A included 15 patients with AC who were managed conservatively and then surgically after 72 h and group B included 15 patients with AC assigned to LC within 72 h. Results There was no statistical significant difference between patients of both groups regarding age or sex. Operative time was significantly increased in group A than in group B, whereas there was no statistical significant difference between both groups regarding blood loss, intraoperative complications, conversion to open cholecystectomy, postoperative hospital stay, or follow-up period complications. Conclusion Extending the golden time for LC associated with the same hospital stay, cost-effectiveness, conversion rate, and complications, and therefore can be considered as a preferred approach in the treatment of AC.

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