Incidence of Complications in Early vs. Late Laparoscopic Cholecystectomy after Acute Cholecystitis

Authors

  • Rimon Boshra Rizk
  • Hossam Ahmed Aboul-Enein
  • Tamer Mohamed Nabil
  • Rowida Yehia Elsayed Ali
  • Mostafa fathy Ibrahim
  • Mohammed Ahmed Korany6

DOI:

https://doi.org/10.37506/ijocm.v11i1.3366

Keywords:

Complications, early vs. Late Laparoscopic Cholecystectomy; Acute Cholecystitis

Abstract

Background: The majority of digestive tract illnesses are caused by biliary ailments. Cholelithiasis is one of them,
that produces generalized illness, necessitating surgical intervention for complete recovery. Aims: The goal of
this study was to compare the outcomes of early (within one week) and delayed (after six weeks) laparoscopic
cholecystectomy for acute cholecystitis.
Patients and Methods: This study was took place from November 2019 to July 2021, at the General Surgery
department, Beni-Suef University hospitals, with 54 cases diagnosed with acute cholecystitis during the study
period were included. Patients were randomized using the closed envelope method.
Results: Operative time showed significant prolongation in the delayed group (76.12 vs. 37.98 minutes in the early
group – p < 0.001).Early intervention was associated with a significant reduction in post-operative pain measured
by VAS (3 vs. 4 in the other group – p = 0.015). Patient satisfaction was significantly improved in the early group
compared to the late group (p < 0.001).
Conclusion: This study found that laparoscopic cholecystectomy at early stage is a safe and feasible therapeutic
option for cholecystitis. It’s linked to lower VAS scores, shorter operative times, and lower complication rates. It’s
not statistically significant, but related to higher patient satisfaction.

Author Biographies

Rimon Boshra Rizk

General Surgery department, Faculty of Medicine, Beni-Suef University, Egypt

Hossam Ahmed Aboul-Enein

General and Vascular Surgery department, Faculty of Medicine, Beni-Suef University, Egypt

Tamer Mohamed Nabil

General Surgery department, Faculty of Medicine, Beni-Suef University, Egypt

Rowida Yehia Elsayed Ali

General Surgery department, Faculty of Medicine, Beni-Suef University, Egypt

Mostafa fathy Ibrahim

General and plastic Surgery department, Faculty of Medicine, Beni-Suef University, Egypt

Mohammed Ahmed Korany6

General Surgery department, Faculty of Medicine, Beni-Suef University, Egypt

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Published

2023-01-30