Abstract
During a two and a half year period, 40 cases (11.4%) of laparoscopic cholecystectomy for acute cholecystitis including 11 cases in which preoperatie PTGBD (A) was performed were studied. These cases included GB stones in eight cases, GB and CBD stones in one case, CBD stones in one case and acalculous in one case. These were five males and six females. Their ages ranged from 24 to 78 years with the average being 60.4. The average period from onset to PTGBD(A) was 1.8 days, from PTGBD(A) to LC was 32.2 days and we converted to open surgery in two cases (18.2%). The average time of operation was 231.3 minutes and the average period of postoperative hospital stay was 15.2 days. We encountered no severe intra-and postoperative complications. We conclude that for assuring the safety of LC in patients who resist against the concervative treament or those who show some severe findings in ultrasound, preoperative PTGBD (A) for the management of acute inflammation would be mandatory.
