[Personal experience with laparoscopic cholecystectomy in acute cholecystitis]

Area of Science:

• Surgery
• Gastroenterology

Context:

• Retrospective analysis of 1600 laparoscopic cholecystectomies (LCHE) from 1994-2000.
• Focus on 302 LCHE cases for acute cholecystitis, histopathologically confirmed.

Purpose:

• To evaluate the safety and efficacy of LCHE for acute cholecystitis.
• To compare outcomes of LCHE for acute cholecystitis with elective LCHE.

Summary:

• LCHE for acute cholecystitis increased significantly, surpassing classical cholecystectomies during the study period.
• Early surgical consultation and diagnosis are crucial for successful laparoscopic treatment.
• Peroperative, postoperative complications, and reoperation rates for acute cholecystitis via LCHE are comparable to elective LCHE.

Impact:

• Laparoscopic cholecystectomy is a viable surgical option for acute cholecystitis.
• Highlights the importance of timely surgical intervention in managing acute cholecystitis.
• Supports the adoption of LCHE for acute cholecystitis, demonstrating comparable safety to elective procedures.