Complications of laparoscopic cholecystectomy in acute and chronic cholecystitis

Objective: to compare different complications of laparoscopic cholecystectomy done for acute versus chronic cholecystitis. setting: department of surgery,sheikh zayed medical college,rahim yar khan. duration: twenty (20) months (january -2009 to august -2010) sample size: total 100 cases undergoing laparoscopic cholecystectomy were included in the study. (50 cases of acute and chronic cholecystitis each). methods: patients were excluded with bilirubin greater than 3.5 mg/dl,alkaline phosphates greater than 250 (ul),choledocholithiasis and carcinoma gallbladder. data was collected prospectively which included patients' demographics,medical history,presentation,operative and postoperative time. results: female to male ratio was 1: 4.8. mean age was 46.74±11.30 years. the median of hospital stay were 3.9 and 3.8 days in alc and clc respectively (p=0.794). major complications were observed in 2 patients (4.0%) in alc and 2 patients (4.0%) in clc. 11 (22%) patients in alc and 23 (46.0%) patients in clc were discharged less than 10 hours after surgery. conclusion: no difference in major complications. laparoscopy appears to be safe and good approach for emergency cholecystectomy in patients with acute cholecystitis.