An Observational Study to Compare Interval Cholecystectomy And Early Cholecystectomy Among Patients Of Acute Cholecystitis At A Tertiary Care Centre In Bihar

Introduction: Cholecystectomy is the treatment of choice for patients with acute cholecystitis. If the surgery is performed within 2-3 days of presentation of patient with symptoms of acute inflammation, it is called as early cholecystectomy. With this background, this study was planned and conducted to generate evidences by comparing outcomes of patients undergoing interval and early cholecystectomy at a tertiary medical college of Bihar. Methodology: An observational prospective study was conducted by Department of General surgery, Madhubani Medical College & Hospital, Bihar, India. Prior clearance was obtained from the Institutional Ethics Committee. All patients presenting with features suggestive of acute cholecystitis in surgical OPD or emergency during the study duration of 12 months from January 2021 to December 2021 were considered for inclusion in the study. Result: Out of 100 patients were recruited for the study, 50 cases in each group. Group 2 patients were investigated afresh for the subsequent operative intervention. The mean age of the patients was 46.1 ± 9.3 years and 49.3 ± 12.4 years in groups 1 and 2, respectively. There was a female predominance observed in both the groups. Wound infection was noted in 10% patients of group 1 and 12% patients of group 2. Biliary leak was found in 19% patients of group 1 and 23% patients of group 2. Mean hospital stay was 8.2 ± 2.2days and 10.2 ± 5.4days in group 1 and 2, respectively. Conclusion: So early surgery is found to be more economical than delayed surgery in acute cholecystitis if the diagnosis could be confirmed in proper time