Muhammad Zulfiqar Ali, Muhammad Zafar Iqbal, Muhammad Anwar Choudhry, Shumaila Imran.
Complications of laparoscopic cholecystectomy in acute and chronic cholecystitis.
Pak J Med Health Sci Jan ;5(2):236-8.

Objective: To compare different complications of laparoscopic cholecystectomy done for acute versus chronic cholecystitis. Setting: Department of Surgery, Sheikh Zayed Medical College, Rahim Yar Khan. Duration: Twenty (20) months (January -2009 to August -2010) Sample size: Total 100 cases undergoing laparoscopic cholecystectomy were included in the study. (50 cases of acute and chronic cholecystitis each). Methods: Patients were excluded with bilirubin greater than 3.5 mg/dl, alkaline phosphates greater than 250 (UL), choledocholithiasis and carcinoma gallbladder. Data was collected prospectively which included patients demographics, medical history, presentation, operative and postoperative time. Results: Female to male ratio was 1: 4.8. Mean age was 46.74±11.30 years. The median of hospital stay were 3.9 and 3.8 days in ALC and CLC respectively (P=0.794). Major complications were observed in 2 patients (4.0%) in ALC and 2 patients (4.0%) in CLC. 11 (22%) patients in ALC and 23 (46.0%) patients in CLC were discharged less than 10 hours after surgery. Conclusion: No difference in major complications. Laparoscopy appears to be safe and good approach for emergency cholecystectomy in patients with acute cholecystitis.

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