Efficacy of laparoscopy for acute Cholecystitis: A comparative study

Abstract

Background: Laparoscopic cholecystectomy (LC) represents a significant change in the management of gallbladder disease and it is the most commonly performed operation of the digestive tract. It is considered as the gold standard treatment for Cholelithiasis. For acute Cholecystitis, however, the use of laparoscopic cholecystectomy has been controversial up until recently, because of the high open conversion rate and the high incidence of postoperative complications.Aim of the study: To study efficacy of laparoscopy for acute Cholecystitis.Materials and methods: For the study, we retrospectively reviewed the medical records of patients aged 30-65 years with acute Cholecystitis who underwent Laparoscopic cholecystectomy (LC) and were compared patients who underwent open cholecystectomy (OC). A total of 120 patients (70 for LC and 50 for OC) were reviewed.Results: Our study group comprised of 120 total patients. 70 had undergone LC and 50 had undergone OC. On comparing the demographics of the patients, the results were found to be statistically non-significant for all the parameters. We observed that mean operative time for LC was 49.69 min and for OC was 62.36 min.Conclusion: Within the limitations of the present study, it can be concluded that laparoscopic cholecystectomy has equal efficacy for acute Cholecystitis patients as compared to open cholecystectomy.