What are the benefits of early laparoscopic cholecystectomy (ELC) compared to delayed laparoscopic cholecystectomy (DLC) for the treatment of cholecystitis?

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

Wilson et al used decision tree analytic modeling to compare the cost-effectiveness and quality-adjusted life years (QALYs) of early laparoscopic cholecystectomy (ELC) and delayed laparoscopic cholecystectomy (DLC) and found that, on average, ELC is less expensive and results in better quality of life (+0.05 QALYs per patient) than DLC. [42, 43]

Early operation within 72 hours of admission has both medical and socioeconomic benefits and is the preferred approach for patients treated by surgeons with adequate experience in laparoscopic cholecystectomy. [44] Immediate cholecystectomy or cholecystostomy is usually reserved for complicated cases in which the patient has gangrene or perforation.


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