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The best management of the acute cholecystitis is to do laparoscopic cholecystectomy. The hypothesis is that to do it as an early intervention after patient admission is better than delayed cholecystectomy regarding the hospital stay, interval for antibiotic, the easiness of the operative maneuver reflected by operative time, conversion and intraoperative complications.
Doing laparoscopic cholecystectomy for patients with acute cholecystitis as an early intervention after patient admission ( first group) or to do it after a while of treatment and conservation as a delayed cholecystectomy (second group) points of study include the hospital stay, interval for antibiotic, the easiness of the operative maneuver reflected by operative time, conversion and intraoperative complications.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Early cholecystectomy | Active Comparator | Laparoscopic cholecystectomy well be done after the immediate admission |
|
| Delayed cholecystectomy | Active Comparator | Laparoscopic cholecystectomy after a period of conservative treatment |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Early cholecystectomy | Procedure | Early laparoscopic cholecystectomy for acute cholecystitis after admission |
|
| Measure | Description | Time Frame |
|---|---|---|
| Operative time | Operative time is assessed in minutes , | 1 DAY |
| Measure | Description | Time Frame |
|---|---|---|
| Perioperative complications | Intraoperative complications like bleeding , injury, | 5 weeks |
| Conversion rate | Conversion rate from laparoscopic to open and reason of conversion. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| mohamed e abdellatif, md | Contact | 00201115051680 | surg_latif@hotmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| mansoura university hospital, EGYPT, central hafr elbatin hospital, Saudia Arabia | Recruiting | Al Mansurah | Egypt |
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| Label | URL |
|---|---|
| Related Info | View source |
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| ID | Term |
|---|---|
| D041881 | Cholecystitis, Acute |
| ID | Term |
|---|---|
| D002764 | Cholecystitis |
| D005705 | Gallbladder Diseases |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
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| Delayed cholecystectomy | Procedure | Laparoscopic cholecystectomy well be done after a period on conservation |
|
|
| 1 DAY |
| hospital stay in days | hospital stay in days | 2 weeks |
| Period of giving antibiotics in days | Number of days giving the antibiotics | 2 WEEKS |