Management of acute lithiasic cholecystitis and its results with early and late collecistectomies at the Hospital Central de las Fuerzas Armadas. Period 2019 – 2021

Abstract

Introduction: There is still controversy regarding the waiting time for the surgical management of acute cholecystitis, taking into account the surgical risks and the frequency of complications mainly. Objective: To determine the benefits of early cholecystectomy in patients with acute stone cholecystitis at the Central Hospital of the Armed Forces. Period March 2019 - April 2021. Methodology: It is a descriptive observational study, cross-sectional, temporally retrospective. The sample consisted of 99 patients diagnosed with acute lithiasic cholecystitis treated during the period 2019-2021 at the Central Military Hospital of the Armed Forces. Results: In relation to the risk factors, the most frequent was having had a previous episode of acute cholecystitis in 34.3%, with obesity and a history of previous surgery being less frequent. According to the cholecystectomy method, the conventional one was higher by 57%. Regarding the waiting time, a higher percentage was recorded in early cholecystectomy with 69%. Evaluating the complications, it was observed that 33 patients had complications, of which. 9 were in the peroperative period and 24 in the post-operative period. Conclusions: The most frequent risk factors were previous history of acute cholecystitis, obesity and previous surgery. The surgical procedures were grouped early and late and no difference was found in terms of the operative time of conventional surgery and laparoscopic surgery.