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Corresponding Author

Amr Abd-Elaty Abdallah

Document Type

Original Article

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.

Keywords

Laparoscopic Cholecystectomy; Conservative Management; Calcular Cholecystitis

Subject Area

General Surgery

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