Acute Cholecystitis
Conditions
Keywords
Laparoscopic cholecystectomy, Acute cholecystitis, Early, Delayed
Brief summary
The best management of the acute cholecystitis is to do laparoscopic cholecystectomy. The hypothesis is that to do it as an early intervention after patient admission is better than delayed cholecystectomy regarding the hospital stay, interval for antibiotic, the easiness of the operative maneuver reflected by operative time, conversion and intraoperative complications.
Detailed description
Doing laparoscopic cholecystectomy for patients with acute cholecystitis as an early intervention after patient admission ( first group) or to do it after a while of treatment and conservation as a delayed cholecystectomy (second group) points of study include the hospital stay, interval for antibiotic, the easiness of the operative maneuver reflected by operative time, conversion and intraoperative complications.
Interventions
Early laparoscopic cholecystectomy for acute cholecystitis after admission
Laparoscopic cholecystectomy well be done after a period on conservation
Sponsors
Study design
Eligibility
Inclusion criteria
* Proved acute cholecystitis clinical, radiologic
Exclusion criteria
* Evidence of peritonitis * ASA III or IV * Previous upper abdominal surgery * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Operative time | 1 DAY | Operative time is assessed in minutes , |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Perioperative complications | 5 weeks | Intraoperative complications like bleeding , injury, |
| Conversion rate | 1 DAY | Conversion rate from laparoscopic to open and reason of conversion. |
| hospital stay in days | 2 weeks | hospital stay in days |
| Period of giving antibiotics in days | 2 WEEKS | Number of days giving the antibiotics |
Countries
Egypt