EARLY LAPAROSCOPIC CHOLECYSTECTOMY IN ACUTE CHOLECYSTITIS
Keywords:
Early laparoscopic, cholecystectomy, Cholelithiasis, Acute cholecystitis, Biliary leak, Port siteAbstract
Objective: To determine the frequency of post operative complications after early Laparoscopic Cholecystectomy (LC) for Acute Cholecystitis (AC).
Material and Methods: This descriptive cross sectional study was carried out in Surgical A Unit, Khyber Teaching Hospital, Peshawar from April 2012 to November 2014. A total of 369 patients were included in the study. All patients presented with AC and subjected to early LC. Data regarding age, gender, and main outcome measures such as biliary
leak, hemorrhage, port site infection (PSI) and post-operative vomiting (POV) were collected on the predesigned proforma and analyzed. Frequencies and percentages were calculated for categorical variables such as gender, biliary leak, hemorrhage, PSI and POV while mean ± SD was calculated for continuous variables such as age.
Results: A total of 369 patients were analyzed. The mean age of patients was 41.30 years ± 12.54SD. There were 83 males and 286 females with a M/F ratio of 1:3.45. Biliary leakage was observed in 4 (1.1%) patients. There was uncontrollable
hemorrhage in 2 (0.54%) patients. PSI was observed in 13 (3.5%) patients and POV in 34 (9.2%) patients.
Conclusion: Early laparoscopic cholecystectomy does not increase the complication rates and is a safe and feasible procedure for acute cholecystitis.
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