RESUMEN
Objective: To see the outcome of early laparoscopic Cholecystectomy in acutely inflamed gall bladder
Study Design: A prospective interventional study
Place and Duration: Surgery unit-I of Fauji Foundation Hospital, Rawalpindi from 1[st]January 2005 to 30[th] June 2009
Methodology: Patients admitted with acutely inflamed gall bladder within 72 hrs of symptoms were subjected to early laparoscopic Cholecystectomy. All operative findings, per-operative and post operative complications and follow up details were recorded meticulously on a Performa and analyzed
Results: Laparoscopic Cholecystectomy on acutely inflamed gallbladder was performed in 116 patients. Among them 70.68% patients had acute cholecystitis, 22.43% empyema gall bladder and 6.89% gangrenous gall bladder. The overall conversion to open cholecystectomy was 11.20% and it was highest [14.28%] in gangrenous GB, followed by empyema GB [7.69%]. Pus or infected fluid collection found in 6.89% patients and 1.72% had visceral injury during surgery. No mortality was observed
Conclusion: Early laparoscopic Cholecystectomy in acute gall bladder is safe and feasible option and should be considered in patients instead of interval Cholecystectomy