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Research Article | Volume 13 Issue:3 (, 2023) | Pages 1769 - 1774
Comparing Immediate vs. Postponed Laparoscopic Cholecystectomy in Acute Cholecystitis a Study on Outcomes and Complications
Under a Creative Commons license
Open Access
DOI : 10.5083/ejcm
Published
Sept. 14, 2023
Abstract

Background: Cholecystectomy is a common surgical intervention, with both early laparoscopic cholecystectomy (ELC) and late laparoscopic cholecystectomy (LLC) approaches being employed. This study aims to discern the differences in age distribution, symptom presentation, and surgical outcomes between ELC and LLC. Methods: A total of 100 subjects (50 ELC and 50 LLC) were retrospectively analyzed for age, gender, symptoms such as fever, vomiting, and jaundice, presence of gallbladder calculi, peri cystic fluid, and complications like gallbladder perforation and bile duct injury. The duration of surgery for both groups was also compared. Results: Age distribution showed a higher prevalence of individuals aged 20-30 undergoing ELC (60% vs. 50%, p=0.05). The ELC group reported slightly higher prevalence of fever (50% vs. 40%, p=0.25) and vomiting (40% vs. 30%, p=0.45). Jaundice was present in 20% of the ELC group and 10% of the LLC group (p=0.35). Multiple gallbladder calculi were observed in 80% of ELC and 76% of LLC subjects (p=0.65). The average duration of surgery was significantly shorter for ELC (76.16 minutes vs. 116.48 minutes, p<0.001). Conclusion: This study elucidates notable differences in age distribution and symptom presentation between ELC and LLC. Notably, ELC was associated with a significantly shorter duration of surgery. The choice between ELC and LLC should consider patient demographics, symptomatology, and potential surgical outcomes.

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