Laparoscopic Cholecystectomy vs Open Cholecystectomy in the Treatment of Acute Cholecystitis

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Abstract
LAPAROSCOPIC cholecystectomy (LC) has clearly displaced open cholecystectomy (OC) in the management of simple biliary lithiasis.1-3 However, the role of LC in the treatment of acute cholecystitis (AC) is somewhat controversial because some surgeons claim that the inflammation, edema, and necrosis experienced by patients with AC make dissection more difficult, which can, therefore, increase the rate of complications.4 Certain studies have recently found that LC is a safe, efficient technique for cases of AC.5-7 However, the patients are selected in some of these studies, and some are multicentric; also, some of these studies do not compare the results of LC with those of OC, which is the safest technique for managing AC. This study describes a series of patients with AC who were treated with LC or OC and assesses the results of both techniques.

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