A Shift in Timing: The Role of Early Laparoscopic Cholecystectomy in Patients with Complicated Acute Cholecystitis – A Case Series

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Min Nay Zar Wyke
Zaw Linn Maung
Aung Ko Ko Lin
Moe Myat Aung

Abstract

Laparoscopic cholecystectomy has become the gold standard for the treatment of acute cholecystitis due to its minimally invasive nature, which significantly reduces patient recovery times and postoperative complications. This case series presents four cases of acute cholecystitis, each managed successfully via laparoscopic cholecystectomy, without conversion to open surgery. The clinical outcomes and intraoperative findings underscore the effectiveness of laparoscopic techniques, even in complex cases such as empyema, gangrenous cholecystitis, and perforation with abscess formation. The discussion includes a review of the relevant literature, highlighting the advantages of early laparoscopic intervention in acute cholecystitis and addressing the challenges posed by severe inflammation. This case series emphasizes the importance of laparoscopic surgery as the preferred treatment modality for acute cholecystitis.

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How to Cite
Wyke, M. N. Z., Zaw Linn Maung, Aung Ko Ko Lin, & Moe Myat Aung. (2024). A Shift in Timing: The Role of Early Laparoscopic Cholecystectomy in Patients with Complicated Acute Cholecystitis – A Case Series. International Journal of Medical Science and Clinical Research Studies, 4(12), 2163–2167. https://doi.org/10.47191/ijmscrs/v4-i12-10
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References

I. Borzellino, G., Khuri, S., Pisano, M., Mansour, S., Allievi, N., Ansaloni, L. and Kluger, Y. 2021. Timing of early laparoscopic cholecystectomy for acute calculous cholecystitis: a meta-analysis of randomized clinical trials. World Journal of Emergency Surgery. 2021, 16(16): 1-12.

II. Yokoe, M. et al. 2018. Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci, 2018, 25: 41-54.

III. Wani, H., Meher, S., Srinivasulu, U., Mohanty, L.N., Modi, M. and Ibrarullah, M. 2023. Laparoscopic cholecystectomy for acute cholecystitis: Any time is a good time. Ann Hepatobiliary Pancreat Surg. 2023, 27: 271-276.

IV. Terho, P.M., Leppaniemi, A.K. and Mentula, P.J. 2016. Laparoscopic cholecystectomy for acute calculous cholecystitis: a retrospective study assessing risk factors for conversion and complications. World Journal of Emergency Surgery, 2016, 1-8.

V. Vargheese, S., Nelson, T., Akhtarkhavari, A., Patra, S.R. and Algud, S.M. 2023. Laparoscopic Cholecystectomy in Acute Calculous Cholecystitis: A Secondary Center Experience. Cureus, 2023, 15(6): 1-6.

VI. Okamoto, K. et al. 2018. Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis. J Hepatobiliary Pancreat Sci, 2018, 25(1): 55-72.

VII. Chahin, F., et al. 1999. The Efficacy of Laparoscopy in Acute Cholecystitis. JSLS, 1999, 3: 121-125.

VIII. Agrawal, R., Sood, K.C. and Agarwal, B. 2015. Clinical Study: Evaluation of Early versus Delayed Laparoscopic Cholecystectomy in Acute Cholecystitis. Surg Research & Practice, 2015: 1-7.

IX. Khin-San-Khaing. 2018. Early versus delayed laparoscopic cholecystectomy for uncomplicated acute cholecystitis [RCT, University of Medicine (1), Yangon, Myanmar].