A comparison of the outcome between acute open and acute laparoscopic cholecystectomy
نویسندگان
1 Department of Surgery, Shafieeh Hospital,
2 Department of Social Medicine, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
3 Department of Social Medicine, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
4 Department of Surgery, Shafieeh Hospital,
doi
چکیده
Background: Laparoscopic cholecystectomy (LC) is now used in the management of acute cholecystitis, but stillat the expense of a high conversion rate. The aim of this study was to evaluate the role of LC in acute cholecystitisand compare it to acute open cholecystectomy (OC) in terms of complications, conversion rate, hospital stayand operation time.Methods: 94 patients with acute cystitis were admitted to the Emergency Department and non-randomly weredivided into acute LC (n=46) and OC (n=48).Results: The mean of hospital stay was 3.4 and 5.4 days in acute LC and OC groups, respectively. There was astatistically significant difference between acute LC and OC in terms of hospital stay. The operation time mean was58.8 and 53.2 minutes in acute LC and OC, respectively. Conversion occurred in 7 patients (15.2%) in the acute LCgroup. Major complications occurred in two patients (5.1%) in acute LC and five patients (10.4%) in OC.Conclusion: In patients with acute LC, there was a decreased hospital and post-operative stay and major complicationscompared with OC. Laparoscopy appears to be a good approach and the first choice for emergencycholecystectomy in patients with acute cholecystitis.
