Compare the effectiveness of early versus delayed laparoscopic cholecystectomy in acute calculus cholecystitis

Content Provider	Semantic Scholar
Author	Madhu, C. P. Kumar, R. Senthil
Copyright Year	2018
Abstract	Acute cholecystitis is a pathology of inflammatory origin, usually associated with cholelithiasis, with a high incidence in the environment. The treatment of acute cholecystitis involves an important socioeconomic impact. There are two surgical therapeutic options: early laparoscopic cholecystectomy (ELC) during the same admission or delayed laparoscopic cholecystectomy (DLC) during a later admission after conservative treatment. The first studies that assessed EC as a treatment for acute cholecystitis date back to the 1950s. In 1970, the first controlled study was published by van der Linden and Sunzel, demonstrating better morbidity and shorter average hospital stay after open EC. The exponential development of laparoscopic surgery occurred during the 1990s. Some of the first publications about laparoscopic ELC showed bad results in terms of morbimortality and high percentages of bile duct injuries. Based on these results, laparoscopic ELC was deprecated and even considered a contraindication for the treatment of acute cholecystitis, favoring initial conservative treatment followed by a laparoscopic DC. Kiviluoto et al, reported similar results in terms of morbimortality between laparoscopic EC and open EC. Lo et al, presented the first controlled study that compared laparoscopic EC and laparoscopic DC, with lower morbidity and hospital stay in the laparoscopic EC group. Recently, many studies have reported similar results in favor of laparoscopic EC. It is important to note ABSTRACT
Starting Page	695
Ending Page	695
Page Count	1
File Format	PDF HTM / HTML
DOI	10.18203/2349-2902.isj20180376
Volume Number	5
Alternate Webpage(s)	https://www.ijsurgery.com/index.php/isj/article/viewFile/2387/1811
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article