Abstract
Acute gallbladder disease – The virtue of performing a laparoscopic cholecystectomy in the early stages of case management
Naseralla Juma Elsaadi Suliman1,2
Keywords: Acute biliary colic, Acute calculous cholecystitis, Conversion rates, Laparoscopic cholecystectomy
DOI: 10.32677/yjm.v2i1.3883
DOI URL: https://doi.org/10.32677/yjm.v2i1.3883
Publish Date: 10-05-2023
Pages: 18 - 24
Views: 2
Downloads: 4
Author Affiliation:
1Consultant General Surgeon, Department of Surgery, Benghazi Medical Center, Benghazi, Libya,
2General Surgery Senior Lecturer, Department of Surgery, Faculty of Medicine, University of Benghazi, Benghazi, Libya
Abstract
Background: In a Benghazi Medical Center, this observational study assessed the role of laparoscopic Cholecystectomy in the early stages of acute gallbladder illness.
Methods: From January 2022 to December 2022, all emergency and urgent admissions for acute gallbladder disease were identified, and additionally, data from hospital medical records were then evaluated retrospectively.
Results: Out of a total of 334 patients with gallstone diseases, we found 321 individuals (206 with acute biliary colic, 115 with acute calculous cholecystitis), and 13 with acalculous cholecystitis. Early laparoscopic surgery for acute calculous cholecystitis had a greater conversion rate than procedures for acute biliary discomfort (19% versus 4%; P = 0.002). When surgery was performed 72 hours from the onset of the symptoms for patients with acute calculous cholecystitis, the conversion rate was considerably lower (one out of 25) than when surgery was postponed past 72 hours (14 out of 53) or later performed electively (seven out of 23) (P = 0.014). In comparison to elective surgery for acute biliary colic (three of 66), elective surgery for prior acute cholecystitis was linked to a higher conversion rate (seven of 22 patients) (P = 0.002).
Conclusion: Laparoscopic cholecystectomy for acute calculous cholecystitis needs to be done within 72 hours of the onset of symptoms, and it is worthwhile.