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Updated: May 2, 2026

Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery

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Published on: March 28, 2025

Early Versus Delayed Laparoscopic Cholecystectomy in Acute Cholecystitis: A Comparative Study.

Dinesh S¹, Ashwani Kumar¹, Dinesh K Pasi¹

¹General Surgery, Government Medical College, Patiala, Patiala, IND.

|May 1, 2026

Summary

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Cholecystitis

Cholecystitis

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...

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Early laparoscopic cholecystectomy for acute cholecystitis is safe. Delayed surgery may offer fewer complications and shorter hospital stays, indicating potential benefits for select patients.

Area of Science:

Gastroenterology
Surgical Oncology
Hepatobiliary Surgery

Background:

Laparoscopic cholecystectomy is the standard treatment for symptomatic gallstones.
The optimal timing for surgery in acute calculous cholecystitis is debated.
This study compares early versus delayed laparoscopic cholecystectomy for acute calculous cholecystitis.

Purpose of the Study:

To compare clinical outcomes of early versus delayed laparoscopic cholecystectomy.
To determine the optimal timing for surgical intervention in acute calculous cholecystitis.

Main Methods:

A prospective comparative study of 100 patients with acute calculous cholecystitis.
Patients were randomized into early surgery (within 72 hours) or delayed surgery (6-8 weeks).

Keywords:

acute cholecystitis clinical outcomes delayed cholecystectomy early cholecystectomy laparoscopic surgery surgical timing

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Application of Laparoscopic Ultrasonography in Primary Choledochal Suture during Combined Two-lens Surgery

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Published on: March 28, 2025

Analyzed demographic data, intraoperative findings, and postoperative outcomes.

Main Results:

No significant difference in operative time or conversion to open surgery between groups.
Higher rates of intraoperative adhesions and gallbladder rupture in the early surgery group, though not statistically significant.
Significantly shorter postoperative hospital stay in the delayed surgery group (3.06 days) compared to the early surgery group (3.46 days).

Conclusions:

Early laparoscopic cholecystectomy is safe and effective for acute cholecystitis.
Delayed surgery may be associated with fewer intraoperative complications and shorter hospital stays.
Delayed surgery might offer advantages in selected cases of acute calculous cholecystitis.