“A COMPARITIVE STUDY OF EARLY VS INTERVAL LAPAROSCOPIC CHOLECYSTECTOMY IN ACUTE CHOLECYSTITIS”

Abstract

Introduction: Acute cholecystitis is an inflammatory gallbladder pathology, often linked to cholelithiasis. The timing of laparoscopic surgery remains controversial, with early, conservative, and delayed approaches. Early studies show better outcomes and shorter hospital stays, but recent evidence often excludes open cases. Aims: The study compares early vs interval laparoscopic cholecystectomy outcomes, safety, intra-operative difficulties, postoperative morbidity, and hospital stay duration in acute cholecystitis, determining conversion rates and reasons. Methodology: This comparative prospective study examines 50 patients with acute cholecystitis admitted in emergency at Krishna Hospital, Karad, analyzing safety, effectiveness, outcome, complications, quality of life, and early resumption of activities. Results: A study comparing early and delay laparoscopic cholecystectomy combinations in 50 patients with acute cholecystitis found that 52% of females were in the early group and 56% in the delay group. Early patients underwent laparoscopic cholecystectomy, while late patients had open cholecystectomy. The study also found that early patients had shorter average hospital stays. Discussion: Recent studies show laparoscopic cholecystectomy is feasible and safe for acute cholecystitis, with higher conversion rates. Delayed laparoscopic cholecystectomy may be a better option due to its technically easier procedure and lower conversion rates. Early laparoscopic cholecystectomy is safe, shortens hospital stay, and reduces cholecystitis risk. Conclusion: Early laparoscopic cholecystectomy is a safe, feasible, and effective treatment option for acute cholecystitis, with reduced complications and comparable postoperative morbidity and mortality rates.