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EVALUATION OF EARLY AND DELAYED LAPAROSCOPIC CHOLECYSTECTOMY FOR ACUTE CHOLECYSTITIS

Dr. Malik Saboor Nasser, Dr. Samia Ameer, Dr. Muhammad Saleem Malik

Introduction: In all the hepatopancreatobiliary emergencies, Acute cholecystitis is the significant one. To check the efficacy and feasibility of laparoscopic cholecystectomy in the acute cholecystitis, different studies related to this are performed with much experience in the subject of laparoscopic cholecystectomy. Methodology: the number of people selected in this experiment is 50 and they have acute cholecystitis. They are further divided into the sub groups. 1st group is early group and 2nd group is delayed group. Findings: in the 1st group, the average period is 43±6 mins and in the 2nd group, the average period is 40±6 mins. In 1st group, perforation of gallbladder in 4 selected people was described. In 2nd group, this is in just 2 patients. In 1st group, spillage of gall stone in 3 selected people was described. In 2nd group, this is in just 2 patients. The VAS score obtained in the 1st group is 4.0±0.41 at average 6th hour of duration while the score in 2nd group is 4±0.68. The VAS score obtained in the 1st group is 3.5±0.61 at average 12th hour of duration while the score in 2nd group is 3.4±00.58. Average period related to the stay of postoperative is 2.3±0.60 days in the patients of 1st group while stay for 2nd group is 2.18±0.67 days. Conclusions: it can be concluded that while setting the acute cholecystitis, the safe and efficient way is initial level of laparoscopic cholecystectomy in addition with short stay at hospital. Keywords: Early surgery, Acute cholecystitis, Early surgery, Delayed surgery, Clinical outcomes, Complications

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