Dr Muhammad Shoaib Aslam,Suman Arooj,Dr.Saad Tariq
Background: Laparoscopic cholecystectomy is considered the gold standard for the management of acute cholecystitis but controversy surrounds the timings of the surgery. Studies are available favoring both early and delayed laparoscopic cholecystectomy. The comparison of early and delayed laparoscopic cholecystectomy for acute cholecystitis was the main objective of this study. Methods: This is a part-experimental study which includes 180 patients irrespective of their age and sex when presented at department of Surgery, Services Hospital between January to December 2017. A diagnosis of acute cholecystitis was assigned randomly to early laparoscopic cholecystectomy within 24 hours of admittance or to initial conservative treatment followed by delayed laparoscopic cholecystectomy, 6 to 12 weeks later. Results: The mean time of operation was 64.32 minutes in early group and 58.24 minutes in the delayed group. The conversion rate in early group was 15.5% and delayed group was 14.4%. The mean value of postoperative stay was 1.67 days in early group and 4.38 days in delayed group. Overall mortality rate remained zero. Conclusion: Our study concludes that early laparoscopic cholecystectomy for acute cholecystitis is safe and offers much shorter hospital stay with quick recovery. Early laparoscopic cholecystectomy offers benefit economically as the hospital stay is shorter as compared to delayed cholecystectomy.