Laparoscopic Cholecystectomy for Acute Cholecystitis After 72 Hours of Symptoms
Laparoscopic Cholecystectomy for Acute Cholecystitis After 72 Hours of Symptoms
The purpose of this study is to compare the clinical outcomes of early versus delayed
 laparoscopic cholecystectomies for acute cholecystitis with more than 72 hours of symptoms.
In acute biliary cholecystitis, there was a dogma that patients should be operated within 72
 hours of evolution. However, retrospective studies suggested that laparoscopic
 cholecystectomy even after 72 hours was safe. Moreover, some randomized controlled-trials did
 not found any differences in term of complications between early and delayed cholecystectomy,
 however none of these studies did separate patients according to the onset of symptoms. The
 aim of our present study was to compare the clinical outcomes of immediate versus delayed
 cholecystectomies for acute cholecystitis with more than 72 hours of symptoms.
Inclusion Criteria:

 -  proven echographic cholecystitis

 Exclusion Criteria:

 -  pregnancy

 -  immunosuppression

 -  severe sepsis

 -  perforated cholecystitis

 -  peritonitis

 -  cholangitis

 -  acute pancreatitis