Original article
English
Mohamed I. Alswehly¹, Tawfiq Abuzaloot¹, Ahmed Toweir² and Talal,Alkhoaldy³
1-Department of Surgery, 2-Department of Community Medicine. Faculty of Medicine, Garyounis University. 3-Department of Surgery, Al-Jala Hospital, Benghazi, Libya
JMJ 2007,Vol.7, No.4:261-263
Abstract
Background: This study was conducted to evaluate the role and the outcome of laparoscopic Cholecystectomy (LC) in the management of acute gallbladder disease and to assess the factors responsible for conversion into open Cholecystectomy (OC). Materials and Methods: A prospective case series study including all patients with acute cholecystitis operated in one unit at Al-Jala Teaching Hospital and in Ehlas Surgical Clinic in Benghazi over a three years period (January 2003 to December 2005). Patients with symptoms of more than 72 hours or various uncontrolled co-morbid conditions as well as patients with cholecystopancreatitis or obstructive jaundice were excluded. The parameters of age, gender, operating time, length of hospital stay, morbidity and conversion rate from laparoscopic to open cholecystitis and its aetiology were analyzed. Results: 62 patients with acute cholecystitis, the majority of them were female (n=44, 71%). Only 3 patients required conversion, 2 of them were male (11%) and one was female (2.28%). 4 patients (6.5%) had developed complications, of these 3 wound infection and one sub-hepatic bile collection (biloma). The mean operating time was not different from that of elective laparoscopic cholecystectomy. Conclusion: Video-laparoscopic Cholecystectomy is safe and efficient procedure in the treatment of acute cholecystitis in the first 72 hours of the attack and it was not associated with an increased rate of complications.
Keywords: Acute cholecystitis, Laparoscopic Cholecystectomy, Benghazi.
Link/DOI: http://www.jmj.org.ly/modules.php?name=News&file=article&sid=1428