Clinical Study of Early and Delayed Laparoscopic Cholecystectomy for the Treatment of Acute Cholecystitis

XIAO Xing

doi:10.14033/j.cnki.cfmr.2025.21.010

Abstract：Objective:To explore the clinical effect of early and delayed cholecystectomy for acute cholecystitis.Method:Take 80 acute cholecystitis patients undergoing laparoscopic cholecystectomy in our hospital from August 2022 to August 2024 as study object,group patients according to priority anti-inflammatory treatment after admission,40 patients who did not undergo anti-inflammatory treatment and received surgery within 72h after admission as early group,40 patients who underwent anti-inflammatory treatment after admission and underwent surgery after inflammation disappeared surgery as delay group,and compare the short-term prognosis of the two groups.Result:Operation time,blood loss and hospitalization in the early group were shorter than those in the delayed group,the differences were statistically significant(P<0.05).Early bowel sound recovery,first exhaust and defecation time were shorter than the delayed group,the differences were statistically significant(P<0.05).The pain scores at 24 h in the early group was lower than the delayed group,the differences were statistically significant(P<0.05).The postoperative complication rate in the early group was shorter than that in the delayed group,the differences were statistically significant(P<0.05).Conclusion:Laparoscopic cholecystectomy is an effective treatment for acute cholecystitis.Compared with delayed surgery after anti-inflammatory treatment,early surgery after admission is more conducive to early rehabilitation.