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Updated: Jul 18, 2026
04:02
Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
Published on: November 25, 2025
Immediate laparoscopic cholecystectomy for acute cholecystitis: no need to wait
Kent A Stevens1, Albert Chi, Layla C Lucas
1University of Arizona Health Sciences Center, Trauma/Critical Care, Rm 5411, 1501 N Campbell Avenue, Tucson, AZ 85724-5063, USA.
American Journal of Surgery
|December 13, 2006
Summary
Immediate laparoscopic cholecystectomy (LC) for acute cholecystitis (AC) is safe. Performing LC within 24 hours for AC showed no increased risks compared to later surgery.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Clinical Outcomes Research
Background:
- Laparoscopic cholecystectomy (LC) within 72 hours is standard for acute cholecystitis (AC).
- Investigating the safety of immediate LC (within 24 hours) for AC.
Purpose of the Study:
- To evaluate the safety and feasibility of performing immediate LC for AC.
- To compare outcomes of LC performed within 24 hours versus after 24 hours for AC.
Main Methods:
- Retrospective review of 253 patients undergoing LC for AC.
- Comparison of outcomes between Group 1 (LC within 24 hours) and Group 2 (LC after 24 hours).
Main Results:
- No significant differences in demographics, disease severity, operating time, conversion rates, or complications between groups.
- Multivariate analysis confirmed timing of LC did not correlate with operating time.
Conclusions:
- Immediate LC for AC is a safe procedure.
- Immediate LC within 24 hours is now the standard of care in our practice.
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