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Early versus delayed laparoscopic cholecystectomy in uncomplicated biliary colic: An observational study

Laparoscopic, Endoscopic and Robotic Surgery 2023年第2期6卷 69-72页

作者： Krishnendu Vidyadharan Rajkumar KembaiShanmugam Ganesan Ayyasamy satheshkumar thandayuthapani Department of General Surgery Kovai Medical Center and HospitalCoimbatore641014India

Objective:Biliary colic is a condition treated with laparoscopic ***,the outcomes of surgery depend on early or delayed time *** research findings reported no benefits of early over delayed,on contra,other reported *** study aims to compare the benefits associated with early and delayed laparoscopic cholecystectomy among uncomplicated biliary colic ***:This observational study included patients with right upper abdominal pain and abdominal ultrasound showing *** who were admitted at the first and second visits(within 6 weeks of the first visit)were assigned to the early and delayed groups,*** participants were followed up for one-week *** diagnosis of the patient,postoperative hospital stay,duration of surgery and complications were noted and compared ***:A total of 80 patients were included,40 each in the early group and delayed *** patients in the two groups had comparable mean ages(40.55±13.12 y vs.40.45±12.06 y,p=0.972).The early group had more female patients(72.5%vs.45.0%,p=0.012).The duration of hospital stay(2.18±0.38 d vs.2.68±1.04 d,p=0.009)and duration of surgery(61.63±3.64 min vs.71.13±16.19 min,p=0.001)were found to be significantly different between the early and delayed *** 1(2.5%)patient in both groups was converted to open *** biliary colic requiring hospital admission was seen in 1(2.5%)patient and 6(15.0%)patients,acute cholecystitis in 2(5.0%)and 6(15.0%),biliary pancreatitis in 1(2.5%)and 2(5.0%),and obstructive jaundice in 1(2.5%)and 1(2.5%)in the early and delayed groups,respectively,with insignificant differences(p>0.05).Conclusion:Early laparoscopic cholecystectomy decreases the operating time and duration of hospital *** terms of postoperative complications,our study did not find any significant difference between the groups.

关键词： Laparoscopic cholecystectomy Uncomplicated biliary colic Acute cholecystitis Obstructive jaundice Biliary pancreatitis

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