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Related Experiment Videos

[Laparoscopic cholecystectomy in acute cholecystitis]

N Jitea1, T Burcoş, S Voiculescu

  • 1Clinica de Chirurgie Colţea, Bucureşti.

Chirurgia (Bucharest, Romania : 1990)
|December 17, 1998
PubMed
Summary

Urgent laparoscopic cholecystectomy is effective for acute lithiasic cholecystitis. Performing surgery within 72 hours reduces conversion rates, operative time, and complications, improving patient outcomes.

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Laparoscopic Surgery

Background:

  • Acute cholecystitis is a common surgical emergency.
  • Laparoscopic cholecystectomy is the standard treatment.
  • Optimal timing for surgery in acute cholecystitis remains debated.

Purpose of the Study:

  • To evaluate laparoscopic cholecystectomy outcomes in acute lithiasic cholecystitis.
  • To assess the impact of surgical timing on key outcomes.
  • To identify factors influencing conversion rates and morbidity.

Main Methods:

  • Retrospective analysis of 65 laparoscopic cholecystectomies for acute lithiasic cholecystitis (1994-1997).
  • Patients categorized into three groups based on surgery timing: within 72 hours, 4-7 days, and over 7 days.

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  • Evaluation of diagnostic accuracy, conversion rates, operative time, postoperative morbidity, and hospitalization duration.

    • Main Results:

    • Clinical and ultrasonographic diagnosis of acute lithiasic cholecystitis was consistently accurate.
    • Conversion rates were higher in later surgical groups (4-7 days and >7 days).
    • Mean operative time was 68 minutes; common postoperative morbidities included bile leakage, subhepatic abscess, and pleural effusions.

    Conclusions:

    • Early laparoscopic cholecystectomy (within 72 hours) is beneficial for acute lithiasic cholecystitis.
    • Surgical timing significantly impacts conversion rates, operative time, and postoperative morbidity.
    • Prompt surgical intervention optimizes outcomes in acute cholecystitis management.