Resumo

CLAROS, Nataniel; PINILLA, Ramiro; FERAUDY, Israel  e  CHAMBI, Claudia. Early versus delayed laparoscopic cholecystectomy un acute cholecystitis. Cuad. - Hosp. Clín. [online]. 2017, vol.58, n.2, pp.07-13. ISSN 1562-6776.

Aim: To compare the results of early and late laparoscopic cholecystectomy in acute lithiasis cholecystitis. Methodological Design: Prospective Cohort Results: 132 patients with acute cholecystitis underwent laparoscopic cholecystectomy divided into two groups; Group I of61 subjects (46.2%) operated early and group II of 71 subjects (53.8%) operated after 72 hrs (late cholecystectomy). The overall mean age was 45 years, of which 77 were women (58.3%) and 55 men (41.7%). The Tokyo classification based on the type of acute cholecystitis was mild or grade I in 105 subjects (79.5%) and moderate or grade II in 27 (20.5%). Antibiotic prophylaxis with cefazolin was used in 19 subjects (14.4%) overall, in group I received 10 subjects (16.4%), while in group II received 9 subjects (12.7%). The overall operative time was 60 minutes. If there is bile spilage or perforation, it associated with infection ofthe operative site with an OR of 1.89. The overall conversion rate was 9.1% (12 subjects). In group I; 4 subjects from 61 (6.6%) and in group II; 8 of 71 subjects (11.3%) with an OR of 1,8. Eight subjects (6.1 %) were reported, such as superficial operative site infection. The analysis of intraoperative complications reveals an OR of 1.2. In relation to ISO, the calculated OR is 2.72. Conclusion: In acute cholecystitis, early laparoscopic cholecystectomy has advantages over the late laparoscopic cholecystectomy.

Palavras-chave : Acute Coleocytitis; Laparoscopic Cholecystectomy; Complications.

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