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[Laparoscopic cholecystectomy in acute cholecystitis]
A el Madani1, A Badawy, C Henry
1Service de chirurgie générale, hôpital Antoine-Béclère, Clamart, France.
Chirurgie; Memoires De L'Academie De Chirurgie
|June 1, 1999
Summary
Emergency laparoscopic cholecystectomy for acute calculous cholecystitis is feasible and beneficial. This study found a low complication rate and shorter hospital stays, demonstrating laparoscopy
Area of Science:
- Surgical Innovation
- Gastrointestinal Surgery
- Minimally Invasive Procedures
Background:
- Acute calculous cholecystitis is a common surgical emergency.
- Laparoscopic cholecystectomy has become standard for elective cases.
- Its role in emergency settings requires evaluation.
Purpose of the Study:
- To assess the feasibility of emergency laparoscopic cholecystectomy.
- To determine the operative risks associated with the procedure.
- To evaluate patient benefits in acute cholecystitis.
Main Methods:
- A retrospective review of 234 patients undergoing emergency laparoscopic cholecystectomy.
- Analysis of operative details, conversion rates, and complications.
- Inclusion of patients with varying ASA scores and comorbidities.
Main Results:
- Mean operative time was 149 minutes.
- Conversion rate was 13%, showing a decreasing trend over time.
- Postoperative complication rate was 18%, with a mortality of 0.4% due to bile duct injury.
Conclusions:
- Laparoscopic approach is a viable option for emergency cholecystectomy in acute calculous cholecystitis.
- The procedure demonstrates acceptable safety and efficacy.
- Benefits include reduced hospital stay for most patients.