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EVALUATION OF EARLY VERSUS DELAYED LAPAROSCOPIC CHOLECYSTECTOMY IN MANAGEMENT OF ACUTE CHOLECYSTITIS

Wejdan Sadan Mohammed Alzahrani1, Nasiri, Asyel Hashim S, Sara Abdullah Ali Alharbi, Yussra Omar Hassan Solan2, Ebtihaj Abdo Fqiry2, Narjes Hassan Alawami, Nada Waleed AlHarbi, Ibrahim Saud Alaskar5, Tareq Hamad Harbe Alotaibi, Faisal Fawzi Abuhalimeh, Abdulellah Abdullah Almeshari

Background Acute cholecystitis is a common emergency presentation with the incidence of acute cholecystitis being similar to the incidence of acute appendicitis. Laparoscopic cholecystectomy has become an important approach for treating acute cholecystitis overtime and it has now replaced open cholecystectomy as the first choice of treatment for acute cholecystitis. However, the optimal timing of laparoscopic cholecystectomy remains controversial. Therefore, the main objective in this study is to review the recent literature compared the outcomes of early versus delayed laparoscopic cholecystectomy. Objective A lot of literatures have been done in order to provide patients with acute cholecystitis a better outcomes, in our review we will evaluate the recent publications assessment of the optimal time for laparoscopic cholecystectomy. Method PubMed database were used for articles selection. All relevant articles related to our review were chosen to cover the following topics: Acute cholecystitis, Management, Early and Delayed Laparoscopic Cholecystectomy. We excluded other articles, which are not related to our objectives. The data have been extracted according to specific form to be reviewed by the authors Conclusion According to the recent evidence, early laparoscopic cholecystectomy is recommended to be the standard treatment option in treating acute cholecystitis. Delaying the operation did not show any value regarding outcomes and in some studies, it was associated with more complications, cost, and troublesome. Therefore, performing the surgery as early as possible is the preferable choice. Even for elderly patients with acute gallbladder disease, early laparoscopic cholecystectomy proved to be safe and effective. In patients with acute gallstone pancreatitis, early laparoscopic cholecystectomy was found to be reducing the risk of recurrent biliary events without an increase in operative difficulty or perioperative morbidity

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