COMPARISON OF OPERATIVE TIME AND LENGTH OF HOSPITAL STAY IN LAPAROSCOPIC CHOLECYSTECTOMY IN ACUTE VERSES CHRONIC XXXX .

@entity1 @entity788 @entity6 @entity14784 @entity2963 @entity2679 @entity1086 @entity65
BACKGROUND: The laparoscopic surgery has opened a new era in the field of surgery. Currently, it is accepted as the "gold standard" in the treatment of symptomatic @entity2963 . However, laparoscopic cholecystectomy (LC) performed for acute @entity2679 is technically difficult because of severe inflammatory adhesions and distortion of the biliary anatomy. The objective of this study was to compare the frequency, mean operative time and length of hospital stay in @entity1 of @entity14784 undergoing laparoscopic cholecystectomy. METHODS: This prospective comparative study was carried out in the department of General Surgery Jinnah Postgraduate Medical Centre (JPMC) Karachi, from March to September 2013. During this period 233 @entity1 underwent laparoscopic cholecystectomy (54 cases of acute and 179 cases of @entity2679 respectively). The @entity1 who were pregnant, diagnosed with gall bladder mass on ultrasound, @entity1086 , acute @entity788 , and those with comorbid like @entity6 / @entity65 were excluded. RESULT: A total of 233 @entity1 were admitted for laparoscopic cholecystectomy. Fifty four (54) @entity1 in Group A (acute @entity2679 ) and 179 @entity1 in Group B ( @entity2679 ) with female: male 2.8:1 and 4:1 in Group A and B respectively. Operative time was longer for group A. Six cases of conversion to open procedure one (1) in Group A and 5 in Group B respectively. CONCLUSION: Laparoscopic cholecystectomy is safe and efficient for both @entity14784 .
