COMPARISON OF EARLY VERSUS DELAYED LAPAROSCOPIC CHOLECYSYTECTOMY FOR ACUTE CALCULUS CHOLECYSTITIS.

Richa Jaiman; Susmita Gupta; Puneet Srivastava

Volume : VIII, Issue : VI, June - 2019

COMPARISON OF EARLY VERSUS DELAYED LAPAROSCOPIC CHOLECYSYTECTOMY FOR ACUTE CALCULUS CHOLECYSTITIS.

Richa Jaiman, Susmita Gupta, Puneet Srivastava

Abstract :

100 patients were randomly divided into early laparoscopic cholecystectomy (group A, within 72 hours) and delayed laparoscopic cholecystectomy (group B, after 6–8 weeks). Both groups were compared on basis of operative time, conversion rate, post operative morbidities, and duration of treatment and hospital stay.69% were female patients and 31% were male patients. The mean operative time was calculated to be 55.4+11.8 minutes in group A and 51.3+9.5 minutes in group B. The rate of conversions was found to be 12% in group A and 8 % in group B and the mean hospital stay was 5.04+1.43 days in the early group and 13.56+2.18 days in the delayed group. Delayed laparoscopic cholecystectomy does not hold significant advantages over early laparoscopic cholecystectomy in terms of operative time, post operative complications and early laparoscopic cholecystectomy is safe and cost friendly and requires shorter hospital stay without increasing morbidity and mortality to the patients.