Laparoscopic holecystectomy(LC) has replaced open cholecystectomy for the majority of gallstomes. But in the cases of acute cholecystitis, the safety and efficacy has not been fully determined.
A 2-year retrospective review was done to assess the clinical results of LC in patients with acute cholecystitis.
From July 1996 through June 1998, a total of 365 patients underwent cholecystectomy for gallstone diseases. Acute cholecystitis, confirmed by clinical, laboratory, operative, and histopathological findings, were preasent in 55 patients.
17 patients who required conversion to laparotomy(conversion group) and 20 patients who were applied laparotomy de novo(open group) were compared to 18 patients with successful LC(LC group).
The conversion gruop demonstrated more postop. hospital stays and longer total admission days. The open group demonstrated shorter operation time, shorter pre-op. hospital stays, longer post-op. hospital stays and longer total admission days.
There were no bile duct injuries and no mortalities.
LC appears to be a safe and beneficial option in selected patients with acute cholecystists.
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