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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2009 August;22(4):177-81
Role of early laparoscopic cholecystectomy in the management of acute cholecystitis
Ferranti F., Siani L., Corona F., Aguzzi D., Quintiliani A.
ASL RM/F, San Paolo Hospital, Department of General and Mininvasive Surgery, Civitavecchia, Rome, Italy
Aim. The role of laparoscopic cholecystectomy in the setting of acute cholecystitis is not yet clearly established. The aim of this study was to evaluate the clinical outcome and the advantages of early laparoscopic cholecystectomy for acute cholecystitis.
Methods. Records of all patients admitted to hospital for acute cholecystitis between 2000-2007, were retrospectively reviewed . The diagnosis of acute cholecystitis was based on clinical laboratory and echographic examinations.
Results. A total of 121 patients underwent early laparoscopic cholecystectomy for acute cholecystitis. There were75 females and 46 males with a mean age of 52 years. Conversion to open surgery was required in 19 (9%) patients. Indications for conversion were represented by inability to identify the anatomy (70%), bleeding (10.5%), and injury of CBD (10.5%). The postoperative morbidity was 9%. There was no mortality in the series. The postoperative hospital stay was 6.1 days.
Conclusion. Early laparoscopic cholecystectomy can be considered a safe and effective treatment for acute cholecystitis. However the patients should be operated on within 72-96 hours of the onset of symptoms and the operation performed by an experienced laparoscopic surgeon.