Tariq Saeed, Javeria Iqbal, Saeed S, Shahana S, Aziz Wazir.
Laparoscopic Cholecystectomy in acute vs chronic cholecystitis.
Pak J Surg Jan ;25(1):14-7.

Objective: The study was done to see the efficacy and the feasibility of laparoscopic cholecystectomy in acute versus chronic cholecystitis on the basis of technical difficulties post-operative complication and hospital stay. Study Designs: Case control study. Setting & Duration: Surgical Unit `D`; Khyber Teaching Hospital Peshawar from June 2005 to May 2006 Methodology. In this study one hundred cases were recruited. Patients were admitted through Out Patient Department or Emergency after necessary baseline investigations. Group I were patients were patients who had been diagnosed as Chronic Cholecystitis while Group II were patients labeled as Acute Cholecystitis. All the patients were operated on the next operation list by Laparoscopic technique. Results: In this study 100 cases were submitted for laparoscopic cholecystectomy, a total of 84 cases (Group I), out of 100 cases were of chronic cholecystitis and 16 cases (Group II) were of acute cholecystitis. Average age ofpatients was 50 years. Average operating time was 42.8 minutes for Group I while it was 58.3 minutes for Group H. Two cases was converted in Group I (Chronic Cholecystitis) while one case was converted in Group II. Average hospital stay was similar in both groups and so was the use of drains. Conclusion: Laparoscopic Cholecystectomy is safe and effective in both Acute and Chronic Cholecystitis.

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