title: [Laparoscopic cholecystectomy in acute cholecystitis].
abstract: OBJECTIVE
  Results evaluation of laparoscopic cholecystectomy in acute cholecystitis.
  
  
  METHODS
  Between 1994-1997 we performed 65 laparoscopic cholecystectomies for histopathologically proved acute lithiasic cholecystitis. We studied clinic and echographic diagnosis, operative moment, conversion rate, operative time, postoperative morbidity and hospitalization. The cholecystectomy was performed within 72 hours in 18 patients (trial I), 4 to 7 days in 25 patients (trial II) and over 7 days in 22 patients (trial III).
  
  
  RESULTS
  Diagnosis of acute lithiasic cholecystitis was always possible by clinical examination and ultrasonography. We performed 8 conversions in patients of trial II (2) and III (6). The mean operative time was 68 min. Postoperative morbidity consisted in 4 bile leakages in the liver bed, 1 subhepatic abscess, 5 right pleural effusions. The mean hospitalization was 4.4 days.
  
  
  CONCLUSIONS
  Urgent laparoscopic cholecystectomy is a beneficial act for acute lithiasic cholecystitis. The operative moment is the most important factor of influence on conversion rate, operative time and postoperative morbidity.
authors.affiliation: Clinica de Chirurgie Colţea, Bucureşti.
authors.forename: N
authors.initials: N
authors.lastname: Jitea
authors.forename: T
authors.initials: T
authors.lastname: Burcoş
authors.forename: S
authors.initials: S
authors.lastname: Voiculescu
authors.forename: D
authors.initials: D
authors.lastname: Cristian
authors.forename: M
authors.initials: M
authors.lastname: Vlad
authors.forename: N
authors.initials: N
authors.lastname: Angelescu
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019072:Antibiotic Prophylaxis; D017081:Cholecystectomy, Laparoscopic / Q000706:statistics & numerical data; D002764:Cholecystitis / Q000601:surgery*; D002769:Cholelithiasis / Q000601:surgery; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D008875:Middle Aged
vernacular_title: Colecistectomia laparoscopică în colecistita acută.