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Title |
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Variables affecting outcome of laparoscopic cholecystectomy in acute cholecystitis |
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BY |
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Ahmed M. Abozied, Nabila M. Shams, Yehia H. Zayed, Sahar B.Alfeki,and Sayed A. Mostafa …..
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Surgical department Azhar Faculty of Medicine for Girls |
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ABSTRACT |
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The use of laparoscopic cholecystectomy (LC) for treatment of acute cholecystectomy (Ac) and timing of this technique are a subject of debate. This study was undertaken to evaluate our experience with early LC as a safe and effective treatment of these cases. Charts for all patients who had undergone LC for the diagnosis of AC were done. They were divided into 2 groups based on the length of time from onset of symptoms to surgical intervention, group 1 “early” less than 72h (number of patients (n)=12) and group 2 “delayed” more than 72h (n=22). Comparing both groups, the conversion rate to an open cholecystectomy (OC) was significantly less in early group than delayed group (8.3% & 41%) respectively. Furthermore, operative time was (76 minuets versus 93m), postoperative hospital stay was (1.3 versus 3 days) and total hospitalization was (2.2 versus 4.5 days) respectively. In conclusion LC is safe and effective technique for treatment of AC. Patents treated within 72h of onset of symptoms has a lower conversion rate to OC, shorter operative time and reduced total time of hospitalization. |