Opportunity Of Laparoscopic Cholecystectomy For Acute Cholecystitis

Objective:Laparoscopic cholecystectomy (LC) in our country has experienced thedevelopment of more than10years. The operation technology matures, because of itssmall trauma, less painful, quick recovery, shorter hospitalization time etc, and isrecognized as the treatment is the first choice of symptomatic cholecystitis operation,and gradually expand to the treatment of acute cholecystitis. But the treatment of acutecholecystitis LC is stil controversal. The purpose of this study is to explore the acutecholecystitis laparoscopic cholecystectomy of the optimal timing of surgery.Methods: We retrospectively analyzed523cases of illness of patients who weregeneral surgery diagnosis of acute cholecystitis or chronic cholecystitis from July2003to Dec.2011to Dalian Medical University affiliated first hospital. Among them,237patients were men, women were286cases, aged from minimum34to maximum92years, mean age62.58years old. Cholecystectomy was performed on472patients bylaparoscopic surgery,51cases of first PTGD/ENBD any laparoscopic resection after thegallbladder. According to the symptoms laparoscopic cholecystectomy days than3daysare divided into groups (early scores) in352cases,>3days group171examples (delaytreatment).Results: During the early352cases of complications (3.1%),1cases of transitopen (0.58%),171patients with delayed operative complications (2.7%),1cases werechanged over to laporotomy (0.28%), the early group complications and transfer rateand a similar delay open group, but the average of patients with early operation time,the length of time the obvious shorter than the delay groups.