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IMJ. 2015; 7(2): 72-76


AN EXPERIENCE WITH EARLY LAPAROSCOPIC CHOLECYSTECTOMY IN ACUTELY INFLAMED GALL BLADDER: A REVIEW OF 116 CASES

KHALID KHAN, SHEHZAD AHMED, ISHTIAQ AHMED.

Abstract
OBJECTIVE: To see the outcome of early laparoscopic Cholecystectomy in acutely inflamed gall bladder.
STUDY DESIGN: A prospective interventional study.
PLACE & DURATION: Surgery unit-I of Fauji Foundation Hospital, Rawalpindi from 1stJanuary 2005 to 30th 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.

Key words: Cholecystectomy, Laparoscopy, Acute Cholecystitis, Empyema, Gangrene, Gallbladder



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