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Early versus delayed laparoscopic cholecystectomy in acute cholecystitis: A prospective study
Kaushlendra Singh Narwariya1, Rakesh Shakya1, Sandeep Sharma1
1Department of General Surgery, SRVS Medical College Shivpuri, Madhya Pradesh, India.
Bioinformation
|April 10, 2026
Summary
Early laparoscopic cholecystectomy within 72 hours is more effective for acute calculous cholecystitis. This approach reduces operative time, hospital stay, and speeds recovery compared to delayed surgery.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Acute calculous cholecystitis management requires optimal surgical timing.
- Laparoscopic cholecystectomy is a standard treatment, but timing remains debated.
Purpose of the Study:
- To compare early (within 72 hours) versus delayed laparoscopic cholecystectomy.
- To evaluate outcomes in patients with acute calculous cholecystitis.
Main Methods:
- Retrospective analysis of 246 patients with acute calculous cholecystitis.
- Comparison of early versus delayed laparoscopic cholecystectomy groups.
Main Results:
- Early surgery demonstrated significantly shorter operative times.
- Reduced hospital stay and faster return to normal activity were observed with early surgery.
- Conversion rates and postoperative complications were similar between early and delayed groups.
Conclusions:
- Early laparoscopic cholecystectomy within 72 hours is more effective and efficient.
- Faster recovery and reduced hospital stay support early intervention for acute calculous cholecystitis.
