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Laparoscopic cholecystectomy in acute cholecystitis.
1Digestive Diseases Centre, PVS Memorial Hospital, Kochi, Kerala, India 682017. drkprakash@vsnl.com
Surgical Endoscopy
|April 19, 2002
Summary
Laparoscopic cholecystectomy is safe for acute cholecystitis, reducing hospital stays. However, pericholecystic fluid collection increases the risk of conversion to open surgery.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Patient Outcomes
Background:
- Laparoscopic cholecystectomy is increasingly used for all cholecystitis forms.
- Evaluating safety and conversion factors for acute cholecystitis is crucial.
Purpose of the Study:
- Assess the safety of laparoscopic cholecystectomy in acute cholecystitis.
- Identify predictors for conversion to open cholecystectomy.
Main Methods:
- Retrospective analysis of 124 acute cholecystitis cases.
- Clinical, biochemical, radiologic, and operative data were reviewed.
- Univariate and multivariate analyses identified conversion factors.
Main Results:
- No mortality or major bile duct injury occurred.
- Mean hospital stay: 3.8 days (laparoscopic) vs. 8.2 days (open).
- Conversion rate was 18.5%; significant factors included pericholecystic collection and gallbladder wall thickness.
Conclusions:
- Laparoscopic cholecystectomy is a safe option for acute cholecystitis.
- Offers a shorter hospital stay compared to open procedures.
- Pericholecystic collection on ultrasound predicts higher conversion risk.