Laparoscopic Cholecystectomy for Acute Gallbladder Disease During Index Admission- 11 the Optimum Timing for Surgery

  • Md Ibrahim Siddique Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Atiar Rahman Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Shahadot Hossain Sheikh Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Khander Manzoor Murshed Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Samia Mubin Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Muhammad Ali Siddiqui Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Krisna Rani Majumder Bangabandhu Sheikh Mujib Medical University, Dhaka
Keywords: Acute gallbladder diseases, laparoscopic cholecystectomy.

Abstract

Background: Laparoscopic cholecystectomy, initially considered a contraindication for the treatment of acute gallbladder disease, is now being practiced for treating acute cholecystitis worldwide. The purpose of the study is to evaluate the outcome of laparoscopic procedure in the management of acute gallbladder disease during the index admission in terms of safety and feasibility, hospital stay and the rates of complications and conversion to open cholecystectomy.

Methods: Between January 2009 to December 2011, 174 patients (103 female, 71 male) with median age 43.5 years (range 27-73 years) with the diagnosis of acute gallbladder disease underwent laparoscopic cholecystectomy. Diagnosis of acute cholecystitis was made from history, physical findings and ultrasound evidence of acute inflammatory changes.

Results: Median time from onset of symptoms to surgery was 70 hours. Median operative time was 76.5 minutes. Conversion rate was 1.7%. Minor post-operative complications occurred in 13.5% cases of laparoscopic procedure, which did not require further intervention. Median post-operative hospital stay was 2.5 days and total length of hospital stay was median 4.4 days. There was no mortality.

Conclusion: In expert hands laparoscopic cholecystectomy for acute gallbladder disease during the index admission is safe with better clinical results, shorter hospital stay and an acceptable conversion and complication rates with additional financial benefit to the patients.

DOI: http://dx.doi.org/10.3329/jss.v16i1.14442

Journal of Surgical Sciences (2012) Vol. 16 (1) : 11-17

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Author Biographies

Md Ibrahim Siddique, Bangabandhu Sheikh Mujib Medical University, Dhaka
Associate Professor, Department of Surgery, Faculty of
Surgery
Md Atiar Rahman, Bangabandhu Sheikh Mujib Medical University, Dhaka
Associate Professor, Department of Surgery, Faculty of
Surgery
Md Shahadot Hossain Sheikh, Bangabandhu Sheikh Mujib Medical University, Dhaka
Associate Professor, Department of Surgery, Faculty of
Surgery
Khander Manzoor Murshed, Bangabandhu Sheikh Mujib Medical University, Dhaka
Associate Professor, Department of Surgery, Faculty of
Surgery
Samia Mubin, Bangabandhu Sheikh Mujib Medical University, Dhaka
Assistant Professor, Department of Surgery
Muhammad Ali Siddiqui, Bangabandhu Sheikh Mujib Medical University, Dhaka
Medical Officer, Department of Surgery, Faculty of Surgery
Krisna Rani Majumder, Bangabandhu Sheikh Mujib Medical University, Dhaka
Medical Officer, Department of Surgery, Faculty of Surgery
Published
2013-04-05
How to Cite
Siddique, M. I., Rahman, M. A., Sheikh, M. S., Murshed, K., Mubin, S., Siddiqui, M., & Majumder, K. (2013). Laparoscopic Cholecystectomy for Acute Gallbladder Disease During Index Admission- 11 the Optimum Timing for Surgery. Journal of Surgical Sciences, 16(1), 11-17. https://doi.org/10.3329/jss.v16i1.14442
Section
Original Articles