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KMID : 0978820010040020026
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2001 Volume.4 No. 2 p.26 ~ p.31
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Comparison of Acute Cholecystitis with Chronic Cholecystitis in Laparoscopic Cholecystectomy
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민석기/Seog Ki Min
한호성/김영우/최용만/권도성/Ho Seong Han/Young Woo Kim/Yong Man Choi/Do Seong Kwon
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Abstract
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Purpose: Laparoscopic cholecystectomy is standard treatment in gallbladder disease. Acute cholecystitis has been relative contraindication of laparoscopic cholecystectomy. With the accumulation of experience in laparoscopic surgery,
laparoscopic
cholecystectomy is being gradually applied for the treatment of acute cholecystitis. The aim of this study is to evaluate the effectiveness and safety of laparoscopic cholecystectomy in acute cholecystitis with the comparison to chronic
cholecystitis.
Methods: The medical records were reviewed for 242 cases of patient who were treated with laparoscopic cholecystectomy for acute cholecystitis(Acute group) and chronic cholecystitis or other gallbladder disease(Chronic group) at Ewha
Womans
University Mokdong Hospital from July 1997 to June 1999. We compared two group with the parameter of operation time, conversion rate, postoperative complication, postoperative diet and postoperative hospital stay.
Results: The acute group was 94 cases and chronic group was 148 cases. The time of operation was shorter in chronic group(87.5 minute) than acute group(118.7 minute)(p=0.001). The conversion to open surgery was 11cases(12%) in acute group
and 9
cases(6%) in chronic group(p=0.08). The complication occured 2 cases(2.1%) in acute group and 4 cases(3.4%) in chronic group(p=0.277). The abdominal drain was applid in 34 cases(36%), in 15 cases(10%) in chronic group(p=0.0003). Postoperative
hospital
stay was not different between two groups(p=0.18).
Conclusion: There was not significant difference in postoperative complication, conversion rate to open surgery and postoperative hospital stay in two groups. We think that laparoscopic cholecystectomy could be applied safely in acute
cholecystitis.
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KEYWORD
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