Assessment of Laparoscopic Cholecystectomy Outcome among Different Age Group for Treatment of Acute Cholecystitis

• Published in: International journal of medical arts Vol. 4; no. 5; pp. 2345 - 2350
• Main Authors: Y P, Srinivasalu, S, Vidyasri
• Format: Journal Article
• Language: English
• Published: Al-Azhar University, Faculty of Medicine (Damietta) 11-06-2022
• Subjects: acute cholecystitis; cholecystectomy; laparoscopy
• ISSN: 2682-3780; 2636-4174; 2682-3780
• DOI: 10.21608/ijma.2022.130911.1445

Background: In the mid-1980s, laparoscopic cholecystectomy [LC] was introduced to Europe as a replacement option to open cholecystectomy [OC], a surgery that had been used for almost a century. This technique has quickly achieved general acceptance as the treatment of choice for symptomatic cholelithiasis patients.Objective: To review the experience and understanding with LC in patients with benign gallbladder diseases and to compare the results as per different adult age groups [18-30 years, 31– 45 years and 46-60 years].  Patients and Methods: The research was a retrospective review of 150 patients with elective LC for benign gallbladder disease. According to their ages, the patients were split into three groups: Group A [18-30 years, n = 34], Group B [31–45 years, n = 76], and Group C [46-60 years, n = 40]. A four-port approach was employed to conduct LC.Results: A total of 150 patients were involved in our study, with Group A [18-30 years, n = 34], Group B [31–45 years, n = 76], and Group C [46-60 years, n = 40] being the three age groups. Males numbered 90, while females numbered 60. In Groups A, B, and C, the mean ages were 24.60±3.14, 38.99±8.06, and 51.32±5.06, respectively. All three groups had statistically significant co-incidental biliary diseases [p=0.03914]. The majority of individuals with acute cholecystitis can have a laparoscopic cholecystectomy. However, compared to normal cholecystectomy, the complication incidence appears to be modest in laparoscopic cholecystectomy.Conclusion: LC is an effective and safe treatment for individuals with benign gallbladder illnesses, especially those who are elderly. However, surgeons should be aware of these disorders and use caution in these instances both before and after surgery.