Evaluation of Laparoscopic Cholecystectomy Versus Conservative Management in Acute Calcular Cholecystitis | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2024, Issue 7, July 2024 | ||||
| DOI: 10.58675/2682-339X.2551 | ||||
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| Authors | ||||
| Magdy Abdallah; Ahmed Sultan; Amr Abdallah | ||||
| General Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Gallbladder inflammation is a hallmark of acute calculous cholecystitis (AC), usually caused by stones or sludge obstructing the cystic duct. It is a gallstone-related complication that occurs rather frequently. Aim of the Work: To evaluate, compare, and distinguish between the two methods of treating acute calculous cholecystitis: laparoscopic cholecystectomy versus conservative management. Patients and Methods: The investigation was conducted at Ahmed Mahear Teaching Hospital's general surgery department. The study participants were fifty individuals diagnosed with acute calcular cholecystitis. Results: Twenty percent of group A experienced abdominal pain, 8% had a fever, 20.0% had Nausea, 12% had Anorexia, 4% had Vomiting, 4% had epigastric pain, and 20.0% had right hypochondrial pain. Within group B, 16 points 0 percent experienced pain in their abdomen, 12 points 0 percent fever, 16 points 0 percent nausea, 12 points 0 percent anorexia, 4 points 0 percent pain in their epigastric area, 20 points 0 percent jaundice, 16 points 0 percent Merrizi syndrome, and 16 points 0 percent pain in their right hypochondrium. Twelve percent of group A suffered from bile duct injury, while eighty percent had bile duct stricture. The two groups differed significantly in terms of the need for postoperative ERCP. Conclusion: Conservative therapy may be a safer course of action for individuals with acute calcular cholecystitis, especially those who are at a high risk of surgical complications. | ||||
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