Marei Omar Al-Jahany*

Assistant Professor of General Surgery, Faculty of Medicine, Benghazi University, Benghazi, Libya

*Corresponding Author: Marei Omar Al-Jahany, Assistant Professor of General Surgery, Faculty of Medicine, Benghazi University, Benghazi, Libya.

Received: January 25, 2024; Published: February 13, 2024

Abstract

Background: The utilization of laparoscopic cholecystectomy (LC) has emerged as the most accepted and preferred method for managing symptomatic gallstones. The prevailing consensus about the management of acute cholecystitis (AC) is to initially pursue conservative treatment in order to mitigate the risk of problems associated with inflammation. Subsequently, the LC is typically performed after a period of 6 to 8 weeks. Nevertheless, the prevalence of early LC has risen due to the growing proficiency in laparoscopic techniques observed in recent years.

Objective: The main aim of the study is to find the incidence of Common bile duct injury (CBD) & the rate of conversion from LC to open cholecystectomy in treatment of AC and the epidemiological factors related to the patients with AC.

Methods: We conducted a prospective study in Ibn-Sina Hospital —Benghazi, on 123 patients suffering from AC, between first of January 2017 and 30^th of June 2018.

Results: Female to male ratio was 6:1, average age was 44.11 ± 16.5 years, conversion rate was 3.3%, there was no complication and average post-operative stay was 2.5 ± 0.88 day.

Conclusions: we concluded that the LC is a clinically proven and reliable surgical intervention for the prompt and efficient treatment of patients suffering from AC.

 Keywords: Laparoscopic Cholecystectomy; Acute Cholecystitis; Gallstones; Management

References

1. Bass RB and Teitelbaum EN. “Novel advances in surgery for Gallstone Disease”. Current Gastroenterology Reports 7 (2022): 89-98.
2. Gad EH., et al. “Laparoscopic cholecystectomy in patients with liver cirrhosis: 8 years experience in a tertiary center. A retrospective cohort study”. Annals of Medicine and Surgery 51 (2020): 1-10.
3. Troisi RI., et al. “Robotic approach to the liver: Open surgery in a closed abdomen or laparoscopic surgery with technical constraints?” Surgical Oncology 33 (2020): 239-248.
4. Picchio M., et al. “Prophylactic drainage after laparoscopic cholecystectomy for acute cholecystitis: a systematic review and meta-analysis”. Updates in Surgery 2 (2019): 247-254.
5. Segundo UM., et al. “Gallstone ileus after recent cholecystectomy. Case report and review of the literature”. International Journal of Surgery Case Reports 79 (2021): 470-474.
6. Alius C., et al. “When Critical View of Safety Fails: A Practical Perspective on Difficult Laparoscopic Cholecystectomy”. Medicina8 (2023): 1491.
7. Mishima K., et al. “Early laparoscopic cholecystectomy for acute cholecystitis following the Tokyo Guidelines 2018: a prospective single-center study of 201 consecutive cases”. Surgical Endoscopy (2023): 1-11.
8. Siada SS., et al. “Day versus night laparoscopic cholecystectomy for acute cholecystitis: a comparison of outcomes and cost”. The American Journal of Surgery6 (2017): 1024-1027.
9. Chang SKY., et al. “A randomized controlled trial comparing post-operative pain in single-incision laparoscopic cholecystectomy versus conventional laparoscopic cholecystectomy”. World journal of Surgery 39 (2015): 897-904.
10. Pietrabissa A., et al. “Short-term outcomes of single-site robotic cholecystectomy versus four-port laparoscopic cholecystectomy: a prospective, randomized, double-blind trial”. Surgical Endoscopy 30 (2016): 3089-3097.
11. Gupta V and Kumar A. “Comparative analysis of Open Cholecystectomy and Laparoscopic Cholecystectomy”. Journal of Advanced Medical and Dental Sciences Research6 (2019): 31-4.
12. Wakabayashi G., et al. “Tokyo Guidelines 2018: surgical management of acute cholecystitis: safe steps in laparoscopic cholecystectomy for acute cholecystitis (with videos)”. Journal of Hepato‐biliary‐pancreatic Sciences1 (2018): 73-86.
13. Doherty G., et al. “The need for standardizing diagnosis, treatment and clinical care of cholecystitis and biliary colic in gallbladder disease”. Medicina3 (2022): 388.
14. Hasan R., et al. “Histological analysis of chronic inflammatory patterns in the gall bladder : diagnostic criteria for reporting cholecystitis”. Annals of Diagnostic Pathology (2016).
15. Cox MR. “Gallbladder Stones and Common Bile Duct Stones”. Surgical Diseases of the Pancreas and Biliary Tree (2018): 65-120.
16. Abdelhamid MS., et al. “Injuries Presentations in Laparoscopic Versus Open Cholecystectomy”. Journal of Surgery4 (2015): 39-43.
17. Gomes CA., et al. “Acute calculous cholecystitis: Review of current best practices”. World Journal of Gastrointestinal Surgery5 (2017): 118.
18. Pucher PH., et al. “SAGES expert Delphi consensus: critical factors for safe surgical practice in laparoscopic cholecystectomy”. Surgical Endoscopy 29 (2015): 3074-3085.
19. Mesleh MG and Asbun HJ. “Management of common bile duct injury”. The SAGES Manual of Biliary Surgery (2020): 213-31.
20. Reinsoo A., et al. “Bile duct injuries during laparoscopic cholecystectomies: an 11-year population-based study”. European Journal of Trauma and Emergency Surgery (2022): 1-8.
21. Agarwal AK., et al. “Minimally invasive versus the conventional open surgical approach of a radical cholecystectomy for gallbladder cancer: a retrospective comparative study”. HPB6 (2015): 536-541.
22. Rakesh Chandru K. “Pre-Operative Prediction of Difficult Laparoscopic Cholecystectomy using Clinical and Ultrasonographic Parameters: Stanley Medical College, Chennai” (2015).
23. Sangwan P. “A Clinical Study to Determine Various Factors for Difficult Laparoscopic Cholecystectomy: Rajiv Gandhi University of Health Sciences (India)”. (2016).
24. Gupta N., et al. “Prediction and Grading Methods of a Difficult Laparoscopic Cholecystectomy”. Recent Concepts in Minimal Access Surgery 1 (2022): 83-110.
25. Gourgiotis S., et al. “Laparoscopic cholecystectomy: a safe approach for management of acute cholecystitis”. JSLS 2 (2007): 219-224.
26. Cao AM., et al. “Early laparoscopic cholecystectomy is superior to delayed acute cholecystitis: a meta-analysis of case–control studies”. Surgical Endoscopy 30 (2016): 1172-1182.
27. Acar T., et al. “Laparoscopic cholecystectomy in the treatment of acute cholecystitis: comparison of results between early and late cholecystectomy”. Pan African Medical Journal 26 (2017): 49.
28. Qu J-W., et al. “Feasibility and safety of single-incision laparoscopic cholecystectomy versus conventional laparoscopic cholecystectomy in an ambulatory setting”. Hepatobiliary and Pancreatic Diseases International3 (2019): 273-277.
29. Julliard O., et al. “Incisional hernia after single-incision laparoscopic cholecystectomy: incidence and predictive factors”. Surgical Endoscopy 30 (2016): 4539-4543.
30. Nofal MN., et al. “Characteristics of trocar site hernia after laparoscopic cholecystectomy”. Scientific Reports1 (2020): 2868.
31. Condilis N., et al. “Acute cholecystitis: when is the best time for laparoscopic cholecystectomy?” Annali Italiani di Chirurgia1 (2008): 23.
32. Acar T., et al. “Laparoscopic cholecystectomy in the treatment of acute cholecystitis: comparison of results between early and late cholecystectomy”. The Pan African Medical Journal 26 (2017).
33. Lee AY., et al. “The timing of surgery for cholecystitis: a review of 202 consecutive patients at a large municipal hospital”. The American Journal of Surgery4 (2008): 467-470.
34. Ohta M., et al. “Operative timing of laparoscopic cholecystectomy for acute cholecystitis in a Japanese institute”. JSLS: Journal of the Society of Laparoendoscopic Surgeons1 (2012): 65.
35. Johansson M., et al. “Management of acute cholecystitis in the laparoscopic era: results of a prospective, randomized clinical trial”. Journal of Gastrointestinal Surgery5 (2003): 642-645.

Citation

Citation: Marei Omar Al-Jahany. “Laparoscopic Cholecystectomy in Management of Acute Cholecystitis”.Acta Scientific Medical Sciences 8.3 (2024): 70-77.

Copyright

Copyright: © 2024 Marei Omar Al-Jahany. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.