An observational study to compare interval cholecystectomy and early cholecystectomy among patients of acute cholecystitis at a tertiary care centre in Bihar

Abstract

Cholecystectomy is the treatment of choice for patients with acute cholecystitis. In this context, laparoscopic cholecystectomy is the gold standard for the treatment of the cholelithiasis. It is the most common laparoscopic surgery performed across the globe. With this background, this study was planned and conducted to generate evidences by comparing outcomes of patients undergoing interval and early cholecystectomy at a tertiary care medical college and Hospital of Bihar. Methodology: An observational prospective study was conducted by Department of General surgery, S K Medical College & Hospital, Muzaffarpur, Bihar. Prior clearance was obtained from the Institutional Ethics Committee. All patients presenting with features suggestive of acute cholecystitis in surgical OPD or emergency during the study duration that was between January 2018 to July 2018 were considered for inclusion in the study. Results: The mean age of the patients was 44.7 ± 11.6 years and 47.4 ± 13.6 years in groups 1 and 2, respectively. There was a female predominance observed in both the groups. Laparoscopic cholecystectomy was done in all the 30 cases of Group 1 but in 3 cases it had to be converted to open cholecystectomy. . In Group 2, laparoscopic cholecystectomy was done in all the 30 cases but in 4 cases it had to be converted to open cholecystectomy. Conclusion: Early surgery is found to be more economical than delayed surgery in acute cholecystitis if the diagnosis could be confirmed in proper time.