A Comparative Study of Early Cholecystectomy and Interval Cholecystectomy in Acute Cholecystitis in a Tertiary Care Center.

Early Cholecystectomy and Interval Cholecystectomy in Acute Cholecystitis

Abstract

Background: The incidence of acute cholecystitis is gradually increasing throughout the world and also in India. 90-95 % of acute cholecystitis is related to gall stones. Earlier the management of acute cholecystitis was conservative followed by interval cholecystectomy. But in last 25 years, there have been many reports recommending early surgery as a treatment of choice. Subjects and Methods: This study was conducted on 80 patients divided in two groups of 40 each with an idea to study the result of early surgery compared with delayed surgery. Results: Though the mean post-operative stay was almost equal in both groups. The total hospital stay in early surgery was 13.28 days and that in delayed surgery was 21.54. In early surgery group majority of cases there was no technical difficulty rather good delineation of cystic duct-CBD junction as edema provided a plane of cleavage. In delayed surgery operative difficulties were found in 18 cases due to much adhesion in calot’s triangle. Conclusion: So, early surgery was found to be more economical with less hospital stay with minimum morbidity than delayed surgery in acute cholecystitis.