[Laparoscopic cholecystectomy in urgent surgery]

Area of Science:

• Gastroenterology
• Surgical Innovation
• Minimally Invasive Surgery

Background:

• Laparoscopic cholecystectomy is a common procedure for gallbladder removal.
• Concerns have been raised regarding potential complications, such as bile duct injuries, during laparoscopic procedures.
• The optimal timing and approach for cholecystectomy remain subjects of clinical interest.

Purpose of the Study:

• To analyze the outcomes of early (urgent) laparoscopic cholecystectomies.
• To compare the safety and efficacy of laparoscopic cholecystectomy with open surgery.
• To evaluate the incidence of extrahepatic bile duct lesions during laparoscopic cholecystectomy.

Main Methods:

• Retrospective analysis of 1691 early (urgent) laparoscopic cholecystectomies.
• Comparison of postoperative lethality, complication rates, and hospital stay with historical data or concurrent open surgery cases.
• Assessment of bile duct injury rates.

Main Results:

• Laparoscopic cholecystectomy demonstrated reduced postoperative lethality.
• A lower number of complications and shorter hospital stays were observed with laparoscopic cholecystectomy.
• The study did not confirm a high rate of extrahepatic bile duct lesions during laparoscopic surgeries.
• Laparoscopic cholecystectomy showed clear advantages over open surgery.

Conclusions:

• Early laparoscopic cholecystectomy is a safe and effective procedure.
• The benefits include reduced morbidity, mortality, and shorter hospitalizations.
• An active surgical policy favoring laparoscopic cholecystectomy is justified.