Related Experiment Video
Updated: May 16, 2026
04:03
Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery
Published on: March 28, 2025
Early versus delayed laparoscopic cholecystectomy for acute cholecystitis
1Section of General Surgery, Department of Oncology, University of Turin, San Luigi Gonzaga Hospital, Orbassano, Italy.
Minerva Chirurgica
|December 13, 2012
Summary
Early versus delayed laparoscopic cholecystectomy for acute cholecystitis shows similar outcomes. Delayed surgery, up to 9 days post-symptom onset, is a safe and feasible option, with comparable success rates and no significant difference in complications.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Laparoscopic cholecystectomy is the standard for gallstones and acute cholecystitis.
- Optimal timing for surgery in acute cholecystitis is debated.
Purpose of the Study:
- To compare outcomes of early versus delayed laparoscopic cholecystectomy for acute cholecystitis.
Main Methods:
- Retrospective analysis of 149 laparoscopic cholecystectomies for acute cholecystitis (2006-2010).
- Early surgery: within 72 hours of symptom onset (n=122).
- Delayed surgery: 72 hours to 9 days from symptom onset (n=27).
Main Results:
- No significant differences in operative time, conversion rates, or complications between early and delayed groups.
- Delayed surgery resulted in a longer hospital stay.
- Success rates were similar regardless of surgeon experience.
Conclusions:
- Delayed laparoscopic cholecystectomy (up to 9 days) for acute cholelithiasis is safe and feasible.
- Outcomes are comparable to early surgery, suggesting potential benefits for delayed procedures.
Related Concept Videos
01:20Cholecystitis
Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...