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- Title
Early verses delayed laparoscopic cholecystectomy among symptomatic cholilithiasis patients: two years' experience in King Fahad Hospital, Al-Madinah Al-Munawarah.
- Authors
Shah, Tajammal Abbas; Khan, Masood Raza
- Abstract
Objectives: A comparative, prospective study was conducted to compare the results of early and delayed laparoscopic cholecystectomy in tertiary care centre of Al-Madinah Al-Munawara region in terms of hospital stay, cost effectiveness, complications, conversion to open cholecystectomy, patient compliance, morbidity and mortality. Materials and Methods: Study was conducted in Surgical Unit, King Fahad Hospital from February 2014 to January 2016. 100 patients were part of this study. Group A, 50 patients presented in surgical emergency with first att ack of acute cholecystitis. Group B, 50 patients with more than one episodes of acute cholecystitis and admitt ed through out-patient department. Patients unfit for laparoscopic surgery, previous abdominal surgery, with acute pancreatitis, acute cholangitis, jaundice and stones in common bile duct were excluded from this study. Results:Among Group A, 50 patients underwent early laparoscopic cholecystectomy;mean hospital stay was 4.48 days, cost for single patient S.R. 5016, 3 patients (6%) were converted to open cholecystectomy, 5 patients (10%) had bile leak during procedure, 2 patient (4%) have additional ERCP with slipped stone in common bile duct and all patients recovered with no significant morbidity and mortality. Among group B, 50 patients; mean hospital stay was 6.72 days, cost for single patient S.R. 6024, 1 patient (2%) converted to open cholecystectomy, 2 patients(4%) with bile leakage, with no significant morbidity and mortality. Conclusion:Early laparoscopic cholecystectomy has advantage of less hospital stay and cost benefits but greater conversion rate to open cholecystectomy and higher complication rate with no significant difference in morbidity and no mortality.
- Subjects
LAPAROSCOPIC surgery; CHOLECYSTECTOMY; ABDOMINAL surgery; CHOLECYSTITIS; LAPAROSCOPY; PATIENTS; THERAPEUTICS
- Publication
Pakistan Journal of Surgery, 2016, Vol 32, Issue 3, p189
- ISSN
0258-8552
- Publication type
Article