EARLY LAPAROSCOPIC CHOLECYSTECTOMY

,,

Abstract

To assess the clinical out come of laparoscopic Cholecystectomy
for management of acute cholecystitis and to evaluate its safety, frequency of complications. Design: Observational
study. Setting: Surgical Units II and III Of Chandka Medical College Hospital Larkana.. Period: From 01.09.2003 up
to 31.12.2007 Patients & Methods: A total of 100 consecutive cases of, acute cholecystitis confirmed subsequently
by abdominal ultrasound scanning, who were admitted for early laparoscopic cholecystectomy. Results: There was
female preponderance with male to Female ratio of 1:4.5. Mean age was 45.75, SD 11.99, and most of patients were
received with in 24 hours from the onset of symptoms. In 51 patients ultrasound reveals Edematous GB in 24(24%),
Empyma 8(8%), Contracted 10(10%), Perforated 5(5%) and Gangrenous GB in 4(4%) while 49(49%) have acute
cholecystitis with cholelithiasis. The conversion rate was 6%; The minimum time taken during the procedure was 50
minutes. No mortality was reported in this series. Conclusion: Emergency / early cholecystectomy is reliable and safe
modality cost effective, and timely surgery with modern conception in themanagement of acute cholecysttitis, because
of accelerated recovery, negligible wound infection or related complication, and less postoperative pain. So Lap Chole
should be preferred technique now days for the treatment of acute cholecystitis at our Institute.