Outcome of Laparoscopic Cholecystectomy in Acute Cholecystitis.

Aim: To analyse the outcome of laparoscopic cholecystectomy in acute cholecystitis. Material and method: The present prospective observational study was conducted in the department of General Surgery for a period of one year, after obtaining ethical clearance from institutional committee. Our study included a total of 150 patients fulfilling exclusion and inclusion criteria and who underwent laparoscopic cholecystectomy. The patient who gave consent, were enrolled only for study. Operation time from onset of procedure (i.e. time since incision was given) to closure of wound, intraoperative finding and intra operative complications were recorded. After surgery postoperative complications and duration of hospital stay was noted. After the patient is discharged they were followed up for post operative findings on day of discharge, day of suture removal and day 14. The findings noted down for the patients were studied and analysed at the end of study according to standard statistical methods and conclusions were made. Results: Dissection of Calot's Triangle was found to be easy and difficult in 83.33% and 16.67% of the subjects respectively. Intraoperative complications viz. bile duct injury, stone spillage and GB bed bleed was found among 2%, 12.67% and 3.33% of the subjects respectively. Blood loss <50ml, >50ml was reported among 89.33% and 10.67% of the subjects respectively. Mean post-op pain (hours), duration of hospital stay (days) and return to work (days) among the study subjects was 17.08±3.19, 2.01±0.17 and 2.98±0.39 respectively. Post-operative complications viz. wound infection, abdominal infection, postoperative ileus, pulmonary complications and fever was found among 3.33%, 2%, 5.33%, 4% and 4% of the subjects respectively. Conclusion: Laparoscopic cholecystectomy is an effective and safe technique of treating symptomatic gallstones even in cases of acute cholecystitis because of accelerated recovery coupled with less postoperative pain and short hospital stay & early return to work. [ABSTRACT FROM AUTHOR]