Sardar Sohail Ali Khan.
Early versus delayed Cholecystectomy for Acute Cholecystitis, A prospective randomized study.
Pak J Gastroenterol Jan ;16(2):30-4.

This study was a randomized clinical trial. The aim of this study was to compare the early and delayed cholecystectomy for acute cholecystits. Patients entering early (n=22) or delayed (n=21) surgery groups were comparable in terms of prerandomization data. Postoperative morbidity was 13.6% in the early group and 14.3% in the delayed surgery group. Wound complications were slightly more common in the early surgery group (p>0.1). In the delayed surgery group 14.3% of the patients had to be operated on before the planned date of surgery. In addition 14.3% of the patients had clear recurrent symptoms. Early surgery reduced total hospital stay by a mean of 7.5 days and the period of patients` resumption of work by 14.4 days. The data suggests that early surgery not only lowers the treatment costs but it also offers the advantage of avoiding recurrent attacks and emergency operations without increasing morbidity and mortality.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com