الفهرس 
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Abstract
Laparoscopic cholecystectomy was first introduced for elective
treatment of cholelithiasis and is now being gradually accepted the
treatment of choice for acute cholecystitis as well.
In this study, 40 patients had been included with acute calcular
cholecystitis, they had been classified randomly into two groups, twenty
patients in each group.
group A (early group) had undergone laparoscopic cholecystectomy in
the first seventy two hours (3 days) from the onset of symptoms.
group B (delayed group) had undergone laparoscopic cholecystectomy in
six to eight weeks after an initial period of conservative treatment.
Diagnosis of acute cholecystitis was based upon right hypochondrial
pain and tenderness, fever, leukocytosis and ultrasonographic evidence of
acute calcular cholecystitis which included thickened wall of gallbladder,
presence of gall stones, and peri-cholecystic fluid collection.
The mean operative time in the early group was more than the mean
operative time in the delayed group. The conversion rate to open
cholecystectomy in the early group was less than the conversion rate in the
delayed group.
The mean total hospital stay in the early group was less than the mean
total hospital stay in the delayed group. Finally the overall complications
in the early group was less than complications occurred in the delayed
group.
from this study it is concluded that:-
Early laparoscopic cholecystectomy for patients with acute
cholecystitis has both medical and socioeconomic benefits and it is the
preferred approach in comparison to delayed approach.