Early laparoscopic cholecystectomy during acute cholecystitis seems safe and shortens the total hospital stay .
BACKGROUND Gallstones are present in about 10 % to 15 % of the adult western population .
Between 1 % and 4 % become symptomatic in a year .
Cholecystectomy for symptomatic gallstones is mainly performed after the acute cholecystitis episode settles because of the fear of higher morbidity and conversion from laparoscopic cholecystectomy to open cholecystectomy during acute cholecystitis .
OBJECTIVES The aim was to compare the early laparoscopic cholecystectomy ( less than seven days of onset of symptoms ) versus delayed laparoscopic cholecystectomy ( more than six weeks after index admission ) with regards to benefits and harms .
Ultrasonographic screening for gallstone disease in middle-aged women. Detection rate, symptoms, and biochemical features.
Five hundred and forty-seven middle-aged women , selected at r and om from the population of Malmö , Sweden , were invited to a screening survey for gallstone disease ; 424 participated ( 77.5 % ) . Forty-one had previously been operated on for gallbladder disease . The prevalence of gallstone disease , on the basis of a positive finding at ultrasonography and cholecystography , was 11 % . The predictive value of a positive finding at ultrasonography was 86 % . Six out of 10 women with gallstone were classified as asymptomatic . Body weight , blood pressure , liver enzymes , fasting blood glucose , and blood lipids , including apolipoprotein-A , did not differ significantly in women with and without gallstone disease . At least 9 out of 10 gallstones appeared to be cholesterol stones . Approximately half were of a size that would make them accessible for dissolution therapy
Early laparoscopic cholecystectomy during acute cholecystitis seems safe and shortens the total hospital stay .
BACKGROUND Gallstones are present in about 10 % to 15 % of the adult western population .
Between 1 % and 4 % become symptomatic in a year .
Cholecystectomy for symptomatic gallstones is mainly performed after the acute cholecystitis episode settles because of the fear of higher morbidity and conversion from laparoscopic cholecystectomy to open cholecystectomy during acute cholecystitis .
OBJECTIVES The aim was to compare the early laparoscopic cholecystectomy ( less than seven days of onset of symptoms ) versus delayed laparoscopic cholecystectomy ( more than six weeks after index admission ) with regards to benefits and harms .