TY  - JOUR
T1  - Outcomes in Early vs Delayed Laparoscopic Cholecystectomy for Acute Cholecystitis an Observational Study
AU - Sathyavani, S. AU - Gopinath, Vinu 
JO  - Research Journal of Medical Sciences
VL  - 19
IS  - 4
SP  - 121
EP  - 125
PY  - 2025
DA  - 2001/08/19
SN  - 1815-9346
DO  - makrjms.2025.4.121.125
UR  - https://makhillpublications.co/view-article.php?doi=makrjms.2025.4.121.125
KW  - Acute cholecystitis
KW  - early cholecystectomy
KW  - hospital stay delayed cholecystectomy
KW  - complications
AB  - The study aims to evaluate and compare the clinical outcomes of early
and delayed laparoscopic cholecystectomy in patients with acute
cholecystitis. Thirty patients, with acute cholecystitis, who had
undergone laparoscopic cholecystectomy were studied. The patients
were to have undergone early laparoscopic cholecystectomy if they had
their surgery within 72 hrs of the initial presentation of the symptoms.
All those patients, who underwent the surgery after 4 weeks, were
considered to be in the delayed laparoscopic cholecystectomy group. The
early and delayed groups had 19 and 11 patients respectively. The overall
occurrence of intraoperative complications was found to be similar in
both groups. It was 84.2% in the early laparoscopic cholecystectomy
group and in comparison, it was 90.9% in the delayed group. Major
bleeding in the early group was 21.1% and that of the delayed group was
18.2%. The bile and gallstone spillage, in our study, among the early and
delayed groups were 47.4 and 72.7%, respectively. In our study, the drain
requirement in the delayed group was 63.6%, while it was 52.6%, in the
early group. The duration of surgery on average was140.5 min in the early
group when compared to 95.5 min in the delayed group. There were no
statistically significant differences in the outcomes of early and delayed
laparoscopic cholecystectomy in patients with acute cholecystitis
regarding complications. Duration of surgery was more and length of
hospital stay less in early group.
ER  -