Background: Cholecystectomy is the standard and the only curative treatment for acutecholecystitis. The complications of acute cholecystitis are disastrous to the patients; on the other hand, conservative treatment is associated with recurrence of symptoms and other complications as common bile duct stone.
The aim of this study is to weight out the complication of emergency surgery against the complications of conservative treatment in patients with acute cholecystitis.
Materials andmethods: A total of 80 patients were included in the study. All Patients underwent early laparoscopiccholecystectomy or interval laparoscopic cholecystectomies for acute calcularcholecystitis from October 2017 to September 2019 were included in the study.
Results: The overall complication rate was 15% (6 of 40 in early group and 10% (4 of 40) in the delayed group. One case of delayed group suffering recurrent acute attack and the other one suffering common bile duct stone, there was no major bile duct injury in the delayed group.
Conclusion: Laparoscopic cholecystectomy is a safe and cost-effective approach for the treatment of acute cholecystitis within 72 h after the onset of attack.
Reply to: 464-2008-283: Re: “Biochemical predictors for absence of common bile duct stones in patients undergoing laparoscopic cholecystectomy” (2008; 22(7):1620–1624)