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Research Paper | General Surgery | India | Volume 12 Issue 4, April 2023 | Popularity: 5.3 / 10

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A Clinical Study on Surgical Outcome of Early Cholecystectomy in Patients Presenting with Acute Cholecystitis at a Tertiary Care Hospital

Dr. Binayak Sadhya, Dr. Balram Murari, Dr. Amitava Ghosh

Abstract: Introduction: Cholecystectomy for acute cholecystitis is mainly performed after the acute cholecystitis episode settles because of the fear of higher morbidity. However, delaying surgery exposes the people to gallstone - related complications. Aims and Objectives: To clinically evaluate the surgical outcome of early cholecystectomy in patients presenting with acute cholecystitis and evaluate its various operative outcomes to assess its safety and feasibility. Methods: This study was carried out in Department of Surgery at Silchar Medical College (Assam, India) from 1st May 2019 to 30th April 2020.50 patients diagnosed to have acute cholecystitis after clinical, laboratory and ultrasonography assessment underwent cholecystectomy within 72 hours of onset of symptoms. They were evaluated in terms of primary outcomes like mortality, bile duct injury, major operative complications and secondary outcomes like duration of surgery, hospital stay etc. and then compared with available literature on delayed cholecystectomy. Results: Majority of the patients were of 41 - 60 years with M: F ratio of 2: 3. The mean operating time was 65 mins. Intraoperatively, one patient each had bile duct and bowel injury, 10% patients had bleeding while 8% had stone spillage. Postoperatively, 6% patients had bile leak, 8% had jaundice, cholangitis developed in 4 patients while one patient went into septicemia. No mortality was noted. The mean postoperative indoor stay was 2.5 days. Conclusion: Primary outcomes and operative duration were comparable between early and delayed cholecystectomy. Early cholecystectomy reduced the hospital stays, overall costs and the risk of complications arising in waiting period and is hence safe, feasible and advisable for patients with acute cholecystitis.

Keywords: Acute cholecystitis, EARLY cholecystectomy, Outcome assessment

Edition: Volume 12 Issue 4, April 2023

Pages: 1451 - 1454

DOI: https://www.doi.org/10.21275/SR23420222346

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