Laparoscopic cholecystectomy in adult women with symptomatic cholelithiasis vs acute lithiasic cholecystitis grade I

Colecistectomía laparoscópica en mujeres adultas con colelitiasis sintomática vs colecistitis litiásica aguda grado I

Objective: observe differences between patients underwent to laparoscopic cholecystectomy for symptomatic non-complicated cholelithiasis and patients underwent to early cholecystectomy for acute cholecystitis (grade I). Methods: prospective and analytic study for 12 months that include female patients (18-65 years old) with diagnosis of symptomatic non-complicated cholelithiasis (biliary colic) (group 1) and patients with acute cholecystitis (grade I) (group 2). Variables observed and compared were: age, weight, height, body mass index (BMI), waist, hip, waist/hip index, arterial hypertension, diabetes, dyslipidemia, ASA risk, leukocytosis, neutrophils, surgical time, and complications. Results: 88 (61,1%) patients were included in group 1, and 56 (38,8%) patients were included in group 2. Difference were found in BMI (30,5 DE±5,6 kg/m² vs 33,2 DE±8,2 kg/m², p=0,037) and surgical time (58,7 DE±14,8 minutes vs 69,5 DE±27,3 minutes, p=0,009). Conclusions: patients with acute cholecystitis (grade I) that were underwent to early cholecystectomy obtain similar results compared with patients with elective cholecystectomy for biliary colic. Obesity determined by BMI could play a special role in genesis of complications as exacerbation. The surgical time is major in patients with acute cholecystitis (grade I), but this could not be influenced in results as morbidity.