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Abstract
Background: A laparoscopic cholecystectomy is a fundamental approach to treating acute cholecystitis, and the timing of performing this given treatment is associated with clinical outcomes. It is unknown whether surgical indication, risk, and consequences of laparoscopic cholecystectomy for acute cholecystitis differ from those for the chronic form, making it questionable whether urgent laparoscopic cholecystectomy is the best approach even in severe acute cases. Objective: This study aimed to evaluate surgical indication, risk, and outcomes of laparoscopic cholecystectomy for acute cholecystitis. Methods: This prospective observational study was carried out at Bangladesh Medical College Hospital (Uttara Campus) from July 2006 to November 2008. A total of 103 acute cholecystitis patients were observed to evaluate the safety, risk, and outcomes (includes hospital stay, joining to routine daily works) of laparoscopic cholecystectomy. Result: Male and female ratio is 1:4, and the mean age in our series is 47 years. Acute calculas cholecystitis ultra-sonogram feature shows the highest percentage (85.4%) compare to the other four parts. The study also confirmations around 69% did not get any complications, and bleeding was the most frequently observed (16%) complication. The overall outcomes in this research were observed around 75% of total operated patients did not experience any difficulty and said they fit entirely. The other 19% who had some complications include Pain, RTI, Seroma, Jaundice, Cholangitis, Wound infection). Conclusion: Regarding bile duct injury and prolonged complications, laparoscopic surgery is not a very good treatment option for acute cholecystitis.
Highlights
Acute cholecystitis is a potentially life-threatening condition that affects more than 20 million Americans yearly and causes a high economic burden worldwide. [1] Gallstones are the major contributor to acute cholecystitis. [1] It is swelling of the gallbladder and a potentially serious condition that usually needs to be treated in the hospital
The male and female ratio who had acute cholecystitis attended in the hospital were 25% and 75%
[11] In our study, 103 patients with acute cholecystitis were observed who went for laparoscopic cholecystectomy to find out the safety, risk, and outcomes of the procedure
Summary
Acute cholecystitis is a potentially life-threatening condition that affects more than 20 million Americans yearly and causes a high economic burden worldwide. [1] Gallstones are the major contributor to acute cholecystitis. [1] It is swelling (inflammation) of the gallbladder and a potentially serious condition that usually needs to be treated in the hospital. Cholecystectomy is the definitive treatment for patients with acute cholecystitis. Laparoscopic cholecystectomy has become a popular alternative to open cholecystectomy in treating acute cholecystitis. A laparoscopic cholecystectomy is a fundamental approach to treating acute cholecystitis, and the timing of performing this given treatment is associated with clinical outcomes. It is unknown whether surgical indication, risk, and consequences of laparoscopic cholecystectomy for acute cholecystitis differ from those for the chronic form, making it questionable whether urgent laparoscopic cholecystectomy is the best approach even in severe acute cases. Objective: This study aimed to evaluate surgical indication, risk, and outcomes of laparoscopic cholecystectomy for acute cholecystitis. A total of 103 acute cholecystitis patients were observed to evaluate the safety, risk, and outcomes (includes hospital stay, joining to routine daily works) of laparoscopic cholecystectomy. Conclusion: Regarding bile duct injury and prolonged complications, laparoscopic surgery is not a very good treatment option for acute cholecystitis
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