Laparoscopic Cholecystectomy in Acute Cholecystitis: An Updated Review

Kumar Hari Rajah *

Taylor’s University School of Medicine and Health Science, Selangor-47500, Malaysia.

*Author to whom correspondence should be addressed.


Abstract

Laparoscopic cholecystectomy is the gold standard for the management of gallstone disease, but it has recently been incorporated into the treatment of acute cholecystitis. It is divided into early and delayed laparoscopic cholecystectomy. Early laparoscopic cholecystectomy is done within 72 hours of the onset of symptoms, and delayed laparoscopic cholecystectomy is done after eight weeks. As there is no consensus on the timing of early laparoscopic cholecystectomy in adults and elderly patients, we have conducted this review article to examine the timing of early laparoscopic cholecystectomy, the risk factors for conversion to open cholecystectomy, and the role of laparoscopic subtotal cholecystectomy in the management of acute cholecystitis.

Keywords: acute cholecystitis, early laparoscopic cholecystectomy, timing of laparoscopic cholecystectomy, conversion of laparoscopic cholecystectomy for acute cholecystitis, surgical treatment of acute cholecystitis


How to Cite

Rajah , K. H. (2024). Laparoscopic Cholecystectomy in Acute Cholecystitis: An Updated Review. Asian Journal of Medicine and Health, 22(6), 160–167. https://doi.org/10.9734/ajmah/2024/v22i61033

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References

Indar AA, Beckingham IJ. Acute cholecystitis. BMJ. 2002;325(7365):639-643. DOI: 10.1136/bmj.325.7365.639

Koti RS, Davidson CJ, Davidson BR. Surgical management of acute cholecystitis. Langenbecks Arch Surg. 2015;400(4):403-419. DOI: 10.1007/s00423-015-1306-y

Knab LM, Boller AM, Mahvi DM. Cholecystitis. Surg Clin North Am. 2014;94(2):455-470. DOI: 10.1016/j.suc.2014.01.005

Thangavelu A, Rosenbaum S, Thangavelu D. Timing of cholecystectomy in acute cholecystitis. J Emerg Med. 2018;54(6): 892-897. DOI: 10.1016/j.jemermed.2018.02.045

Yamashita Y, Takada T, Strasberg SM, et al. TG13 surgical management of acute cholecystitis. J Hepatobiliary Pancreat Sci. 2013;20(1):89-96. DOI: 10.1007/s00534-012-0567-x

Okamoto K, Suzuki K, Takada T, et al. Tokyo guidelines 2018: flowchart for the management of acute cholecystitis [published correction appears in J Hepatobiliary Pancreat Sci. 2019 Nov;26(11):534]. J Hepatobiliary Pancreat Sci. 2018;25(1):55-72. DOI: 10.1002/jhbp.516

Ansaloni L, Pisano M, Coccolini F, et al. WSES guidelines on acute calculous cholecystitis published correction appears in World J Emerg Surg. 2016 Nov 4;11:52. World J Emerg Surg. 2016;11:25. Published 2016 Jun 14. DOI: 10.1186/s13017-016-0082-5

Pisano M, Allievi N, Gurusamy K, et al. World society of emergency surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis. World J Emerg Surg. 2020;15(1):61. Published 2020 Nov 5. DOI: 10.1186/s13017-020-00336-x

Al-Mulhim AA. Timing of early laparoscopic cholecystectomy for acute cholecystitis published correction appears in JSLS. 2008 Oct-Dec;12(4):432. JSLS. 2008;12(3):282-287.

Oymaci E, Ucar AD, Yakan S, et al. Determination of optimal operation time for the management of acute cholecystitis: a clinical trial. Prz Gastroenterol. 2014;9(3): 147-152. DOI: 10.5114/pg.2014.43576

Skouras C, Jarral O, Deshpande R, Zografos G, Habib N, Zacharakis E. Is early laparoscopic cholecystectomy for acute cholecystitis preferable to delayed surgery?: Best evidence topic (BET). Int J Surg. 2012;10(5):250-258. DOI: 10.1016/j.ijsu.2012.04.012

Madan AK, Aliabadi-Wahle S, Tesi D, Flint LM, Steinberg SM. How early is early laparoscopic treatment of acute cholecystitis?. Am J Surg. 2002;183(3): 232-236. DOI: 10.1016/s0002-9610(02)00789-4

Budişcă OA, Gabor FM, Ahmed S, et al. Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: A single center experience. Chirurgia (Bucur). 2024;119(1):44-55. DOI: 10.21614/chirurgia.2024.v.119.i.1.p.44

Blohm M, Österberg J, Sandblom G, Lundell L, Hedberg M, Enochsson L. The sooner, the better? The importance of optimal timing of cholecystectomy in acute cholecystitis: Data from the National Swedish Registry for Gallstone Surgery, GallRiks. J Gastrointest Surg. 2017;21(1): 33-40. DOI: 10.1007/s11605-016-3223-y

Tzovaras G, Zacharoulis D, Liakou P, Theodoropoulos T, Paroutoglou G, Hatzitheofilou C. Timing of laparoscopic cholecystectomy for acute cholecystitis: A prospective non randomized study. World J Gastroenterol. 2006;12(34):5528-5531. DOI: 10.3748/wjg.v12.i34.5528

Wiggins T, Markar SR, MacKenzie H, et al. Optimum timing of emergency cholecystectomy for acute cholecystitis in England: Population-based cohort study. Surg Endosc. 2019;33(8):2495-2502. DOI: 10.1007/s00464-018-6537-x

Hartwig W, Büchler MW. Acute cholecystitis: Early versus delayed surgery. Adv Surg. 2014;48:155-164. DOI: 10.1016/j.yasu.2014.05.008

Agrawal R, Sood KC, Agarwal B. Evaluation of early versus delayed laparoscopic cholecystectomy in acute cholecystitis. Surg Res Pract. 2015;2015: 349801.DOI: 10.1155/2015/349801

Kao LS, Ball CG, Chaudhury PK; for Members of the evidence based reviews in surgery group. Evidence-based reviews in surgery: Early Cholecystectomy for Cholecystitis. Ann Surg. 2018;268(6):940-942. DOI: 10.1097/SLA.0000000000002867

Acar T, Kamer E, Acar N, et al. Laparoscopic cholecystectomy in the treatment of acute cholecystitis: Comparison of results between early and late cholecystectomy. Pan Afr Med J. 2017;26:49. Published 2017 Jan 31. DOI: 10.11604/pamj.2017.26.49.8359

Ambe P, Weber SA, Christ H, Wassenberg D. Cholecystectomy for acute cholecystitis. How time-critical are the so called "golden 72 hours"? Or better "golden 24 hours" and "silver 25-72 hour"? A case control study. World J Emerg Surg. 2014;9(1):60. Published 2014 Dec 16. DOI: 10.1186/1749-7922-9-60

Johansson M, Thune A, Blomqvist A, Nelvin L, Lundell L. Management of acute cholecystitis in the laparoscopic era: Results of a prospective, randomized clinical trial. J Gastrointest Surg. 2003;7(5): 642-645. DOI: 10.1016/s1091-255x(03)00065-9

Ozkardeş AB, Tokaç M, Dumlu EG, et al. Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: A prospective, randomized study. Int Surg. 2014;99(1):56-61. DOI: 10.9738/INTSURG-D-13-00068.1

Wu XD, Tian X, Liu MM, Wu L, Zhao S, Zhao L. Meta-analysis comparing early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Br J Surg. 2015;102(11):1302-1313. DOI: 10.1002/bjs.9886

Gurusamy K, Samraj K, Gluud C, Wilson E, Davidson BR. Meta-analysis of randomized controlled trials on the safety and effectiveness of early versus delayed laparoscopic cholecystectomy for acute cholecystitis [published correction appears in Br J Surg. 2010 Apr;97(4):624]. Br J Surg. 2010;97(2):141-150. DOI: 10.1002/bjs.6870

Lyu Y, Cheng Y, Wang B, Zhao S, Chen L. Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: An up-to-date meta-analysis of randomized controlled trials. Surg Endosc. 2018;32 (12):4728-4741. DOI: 10.1007/s00464-018-6400-0

Shikata S, Noguchi Y, Fukui T. Early versus delayed cholecystectomy for acute cholecystitis: A meta-analysis of randomized controlled trials. Surg Today. 2005;35(7):553-560. DOI: 10.1007/s00595-005-2998-3

Siddiqui T, Mac Donald A, Chong PS, Jenkins JT. Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: A meta-analysis of randomized clinical trials. Am J Surg. 2008;195(1):40-47. DOI: 10.1016/j.amjsurg.2007.03.004

Borzellino G, Sauerland S, Minicozzi AM, et al. Laparoscopic cholecystectomy for severe acute cholecystitis. A meta-analysis of results. Surg Endosc. 2008;22(1):8-15. DOI: 10.1007/s00464-007-9511-6

Cao AM, Eslick GD, Cox MR. Early laparoscopic cholecystectomy is superior to delayed acute cholecystitis: A meta-analysis of case-control studies [published correction appears in Surg Endosc. 2016 Mar;30(3):1183]. Surg Endosc. 2016;30(3): 1172-1182. DOI: 10.1007/s00464-015-4325-4

Zhou MW, Gu XD, Xiang JB, Chen ZY. Comparison of clinical safety and outcomes of early versus delayed laparoscopic cholecystectomy for acute cholecystitis: A meta-analysis. Scientific World Journal. 2014;2014:274516. DOI: 10.1155/2014/274516

Papi C, Catarci M, D'Ambrosio L, et al. Timing of cholecystectomy for acute calculous cholecystitis: A meta-analysis. Am J Gastroenterol. 2004;99(1):147-155. DOI: 10.1046/j.1572-0241.2003.04002.x

Loozen CS, van Ramshorst B, van Santvoort HC, Boerma D. Early cholecystectomy for acute cholecystitis in the elderly population: A systematic review and meta-analysis. Dig Surg. 2017;34(5): 371-379. DOI: 10.1159/000455241

Köstenbauer JK, Gandy RC, Close J, Harvey L. Factors affecting early cholecystectomy for acute cholecystitis in older people-a population-based study. World J Surg. 2023;47(7):1704-1710. DOI: 10.1007/s00268-023-06968-9

Xu R, Xu Y, Xu R. Effect of timing of laparoscopic cholecystectomy on postoperative efficacy and rehabilitation of elderly patients with acute cholecystitis. Am J Transl Res. 2022;14(2):1107-1113. Published 2022 Feb 15.

Kuwabara K, Matsuda S, Fushimi K, Ishikawa KB, Horiguchi H, Fujimori K. Relationships of age, cholecystectomy approach and timing with the surgical and functional outcomes of elderly patients with cholecystitis. International Journal of Surgery. 2011;9(5):392–9. Available:https://doi.org/10.1016/j.ijsu.2011.03.026

Kourounis G, Rooke ZC, McGuigan M, Georgiades F. Systematic review and meta-analysis of early vs late interval laparoscopic cholecystectomy following percutaneous cholecystostomy. HPB (Oxford). 2022;24(9):1405-1415. DOI: 10.1016/j.hpb.2022.03.016

Oymaci E, Ucar AD, Aydogan S, Sari E, Erkan N, Yildirim M. Evaluation of affecting factors for conversion to open cholecystectomy in acute cholecystitis. Prz Gastroenterol. 2014;9(6): 336-341. DOI: 10.5114/pg.2014.45491

Warchałowski Ł, Łuszczki E, Bartosiewicz A, et al. The Analysis of risk factors in the conversion from laparoscopic to open cholecystectomy. Int J Environ Res Public Health. 2020;17(20):7571. Published 2020 Oct 18. DOI: 10.3390/ijerph17207571

Hadad SM, Vaidya JS, Baker L, et al. Delay from symptom onset increases the conversion rate in laparoscopic cholecystectomy for acute cholecystitis [published correction appears in World J Surg. 2008 Dec;32(12):2747. Hussain, Kashif [added]]. World J Surg. 2007;31(6): 1298-1303. DOI: 10.1007/s00268-007-9050-2

Spohnholz J, Herzog T, Munding J, et al. Conversion cholecystectomy in patients with acute cholecystitis-it's not as black as it's painted!. Langenbecks Arch Surg. 2016;401(4):479-488. DOI: 10.1007/s00423-016-1394-3

Lipman JM, Claridge JA, Haridas M, et al. Preoperative findings predict conversion from laparoscopic to open cholecystectomy. Surgery. 2007;142(4): 556-565. DOI: 10.1016/j.surg.2007.07.010

Sippey M, Grzybowski M, Manwaring ML, et al. Acute cholecystitis: Risk factors for conversion to an open procedure. J Surg Res. 2015;199(2):357-361. DOI: 10.1016/j.jss.2015.05.040

Magnano San Lio R, Barchitta M, Maugeri A, Quartarone S, Basile G, Agodi A. Preoperative risk factors for conversion from laparoscopic to open cholecystectomy: A systematic review and meta-analysis. Int J Environ Res Public Health. 2022;20(1):408. Published 2022 Dec 27. DOI: 10.3390/ijerph20010408

Chin X, Mallika Arachchige S, Orbell-Smith J, Wysocki AP. Preoperative and intraoperative risk factors for conversion of laparoscopic cholecystectomy to open cholecystectomy: A systematic review of 30 studies. Cureus. 2023;15(10):e47774. Published 2023 Oct 27. DOI: 10.7759/cureus.47774

Toro A, Teodoro M, Khan M. et al. Subtotal cholecystectomy for difficult acute cholecystitis: How to finalize safely by laparoscopy—a systematic review. World J Emerg Surg. 2021;16:45. Available:https://doi.org/10.1186/s13017-021-00392-x

Al-Azzawi M, Abouelazayem M, Parmar C, et al. A systematic review on laparoscopic subtotal cholecystectomy for difficult gallbladders: A lifesaving bailout or an incomplete operation? Ann R Coll Surg Engl. 2024;106(3):205-212. DOI:10.1308/rcsann.2023.0008