Incidence of Complications in Early vs. Late Laparoscopic Cholecystectomy after Acute Cholecystitis

Abstract

Background: The majority of digestive tract illnesses are caused by biliary ailments. Cholelithiasis is one of them,
that produces generalized illness, necessitating surgical intervention for complete recovery. Aims: The goal of
this study was to compare the outcomes of early (within one week) and delayed (after six weeks) laparoscopic
cholecystectomy for acute cholecystitis.
Patients and Methods: This study was took place from November 2019 to July 2021, at the General Surgery
department, Beni-Suef University hospitals, with 54 cases diagnosed with acute cholecystitis during the study
period were included. Patients were randomized using the closed envelope method.
Results: Operative time showed significant prolongation in the delayed group (76.12 vs. 37.98 minutes in the early
group – p < 0.001).Early intervention was associated with a significant reduction in post-operative pain measured
by VAS (3 vs. 4 in the other group – p = 0.015). Patient satisfaction was significantly improved in the early group
compared to the late group (p < 0.001).
Conclusion: This study found that laparoscopic cholecystectomy at early stage is a safe and feasible therapeutic
option for cholecystitis. It’s linked to lower VAS scores, shorter operative times, and lower complication rates. It’s
not statistically significant, but related to higher patient satisfaction.