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Acute cholecystitis is an indication for laparoscopic cholecystectomy: a prospective study
A A Bakr1, M E Khalil, G E Esmat
1Department of Surgery, Faculty of Medicine, University of Cairo, Egypt.
Summary
Laparoscopic cholecystectomy is a safe and effective treatment for acute cholecystitis. Early intervention by experienced surgeons improves outcomes for this gallbladder condition.
Area of Science:
- General Surgery
- Gastroenterology
Background:
- Acute cholecystitis traditionally contraindicates laparoscopic cholecystectomy.
- Laparoscopic cholecystectomy is a minimally invasive surgical approach.
Purpose of the Study:
- To evaluate the safety and efficacy of laparoscopic cholecystectomy for acute cholecystitis.
- To present surgical experience with this patient cohort.
Main Methods:
- 34 patients with acute calculous cholecystitis underwent laparoscopic cholecystectomy.
- Utilized three trocars, gallbladder aspiration, and fundus-first dissection.
- Cystic duct ligation was performed as needed.
Main Results:
- Procedure completed laparoscopically in 31 patients.
- Mean operative time was 43 minutes; mean hospital stay was 2.8 days.
- Lower operative time and hospital stay compared to open surgery; low morbidity.
Conclusions:
- Laparoscopic cholecystectomy is safe and effective for acute cholecystitis.
- Early surgery by experienced surgeons is recommended.
- Technical modifications and a low threshold for conversion are key.