What is the role of laparoscopic cholecystectomy in the treatment of cholecystitis?

Updated: May 20, 2021
  • Author: Alan A Bloom, MD; Chief Editor: BS Anand, MD  more...
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Answer

Laparoscopic cholecystectomy is the standard of care for the surgical treatment of cholecystitis. Studies have indicated that early laparoscopic cholecystectomy resulted in shorter total hospital stays with no significant difference in the conversion rates or complications. [34, 35, 36, 37, 38] Zafar et al reported that the best outcomes and lowest costs were achieved when laparoscopic cholecystectomy was performed within two days of presentation of acute cholecystitis. [39]

In a retrospective meta-analysis; Huang et al analyzed the outcomes of 8960 high-risk surgical patients with acute calculous cholecystitis and concluded that laparoscopic cholecystectomy outperformed percutaneous cholecystostomy in overall morbidity, mortality, length of hospitalization, and readmission rates. [38]

The ACR criteria state that laparoscopic cholecystectomy is the primary mode of treatment for acute cholecystitis. [1]


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