OBJECTIVE: To compare the results of laparoscopic cholecystectomy (LC) with those of open cholecystectomy (OC) in the treatment of acute @entity2679 . DESIGN: A prospective, nonrandomized trial. SETTING: "Virgen de la Arrixaca" University Hospital, El Palmar (Murcia), Spain. @entity1 : One hundred fourteen @entity1 underwent LC, and 110 underwent OC. The @entity1 underwent surgery within 72 hours of the onset of symptoms. The @entity1 were selected for LC or OC depending on the surgeon's experience in laparoscopic surgery. MAIN OUTCOME MEASURES: Operating time, rate of conversion from LC to OC, complications, and length of hospital stay. RESULTS: Conversion from LC to OC was necessary in 15% of the @entity1 . The mean operating time was 77 minutes for the OC group and 88 minutes for the LC group (P<.001). Complications occurred in 14% of the @entity1 in the LC group and in 23% of the @entity1 in the OC group, with no significant differences between the 2 groups (P=.06). The number of moderate or severe complications was similar in both groups, whereas mild complications were more common in the OC group (P<.02). The length of the hospital stay averaged 8.1 days for the OC group and 3.3 days for the LC group (P<.001). CONCLUSIONS: Laparoscopic cholecystectomy is a safe, valid alternative to OC in @entity1 with acute @entity2679 . The technique has a low rate of complications, implies a shorter hospital stay, and offers the @entity1 a more comfortable postoperative period than OC.

Laparoscopic cholecystectomy vs open cholecystectomy in the treatment of acute XXXX : a prospective study.

@entity1 :: ('9606', 'Species') :: ['PATIENTS', 'patients', 'patient'] @entity2679 :: ('MESH:D002764', 'Disease') :: ['cholecystitis']
@entity2679 :: (MESH:D002764,Disease) :: ['cholecystitis']
