Abstract
COMPARISON BETWEEN EARLY AND DELAYED CHOLECYSTECTOMY IN THE TREATMENT OF ACUTE CHOLECYSTITIS

*Dr. Basim Abdulhussein Talib, Dr. Qasim Mohammed Faraj and Dr. Mohammed Hassen Ubaid

ABSTRACT

In the whole world including Iraq, the incidence of acute cholecystitis is increasing day by day. Gall stones are the most common cause of acute cholecystitis in 90-95% of the cases. The management of acute cholecystitis was conservative earlier but now there are studies recommending early surgery as the treatment of choice. Our study was conducted on 50 patients divided into two groups (25 for each) aiming to compare the results of early surgery with the delayed surgery in acute cholecystitis. The overall post-operative complication rate was same in both groups but there was significant difference in the total hospital stay in both groups. The average total hospital stay in early group was 5.75±4.50 days and in delayed group was 9.50 ±5.40 days without including the number of days in non-operating admission. It can be concluded that early cholecystectomy was found to be more economical with less total hospital stay and less total cost of the therapy than interval cholecystectomy in acute cholecystitis.

Keywords: Acute cholecystitis, Early cholecystectomy, Interval cholecystectomy.


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