OUTCOMES OF LAPAROSCOPIC CHOLECYSTECTOMY IN PATIENTS WITH ACUTE CHOLECYSTITIS - A PROSPECTIVE STUDY
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Keywords
Laparoscopic Cholecystectomy, Acute Cholecystitis, Gallbladder Inflammation, Minimally Invasive Surgery, Gallstone Disease.
Abstract
Aim: The Aim of this study to evaluate the clinical outcomes and safety of laparoscopic cholecystectomy in patients with acute cholecystitis through a prospective analysis, focusing on intraoperative challenges, complication rates, conversion to open surgery, and postoperative recovery.
Methods: A total of 60 patients diagnosed with acute cholecystitis were enrolled in the study based on predefined inclusion and exclusion criteria. Inclusion Criteria Patients aged 18 years and above and fit for general anaesthesia ,Patients who consented to undergo laparoscopic cholecystectomy Exclusion Criteria, Patients with chronic cholecystitis or acalculous cholecystitis , Suspected or confirmed gallbladder malignancy, History of previous upper abdominal surgery and Pregnant women.
Result: A total of 60 patients with acute cholecystitis underwent laparoscopic cholecystectomy during the study period. The mean age of the patients was 44.6 ± 12.3 years, with a female predominance (56.7%). Most patients presented within the first 2 to 3 days of symptom onset, and the mean duration of symptoms prior to admission was 2.1 ± 0.9 days. Laboratory findings showed a mean white blood cell (WBC) count of 12,400 ± 3,200/mm³, indicating systemic inflammation. Ultrasound findings revealed gallbladder wall thickening in 70% of patients and pericholecystic fluid in 41.7%, consistent with acute inflammation.
Conclusion: This prospective study demonstrates that early laparoscopic cholecystectomy is a safe and effective treatment for patients with acute cholecystitis, with a low rate of conversion to open surgery and acceptable postoperative complication rates.
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Dr. Nitin D. Tengli
Associate Professor, Department of General Surgery, Mahadevappa Rampure Medical College, Kalaburagi, Karnataka, India.
Dr. Rohit Devani
Assistant Professor Department of General Surgery, Mahadevappa Rampure Medical College, Kalaburagi, Karnataka, India.
Dr. Akash Patil
Postgraduate Student Department of General Surgery, Mahadevappa Rampure Medical College, Kalaburagi, Karnataka, India.