Abstract

Between 1991-1997,1200 laparoscopic cholecystectomies (LC) were performed in our clinic. Of 1200 LC cases, 240 cases were acute cholecystitis, while 960 cases were chronic ones. Results were compared according to the parameters of sex., age, operation time, conversion to open cholecystectomy (OC), morbidity, mortality and accompanying diseases, previous operations, gross pathological appearance (empyema and piastronated gallbladder). 31 (12.9%) cases with acute cholecystititis (n=240) were converted to open cholecystectomy (OC) while 34(3.5%) cases with acute cholecysititis (n=240) while in 54 (5.6%) cases with chronic cholecystitis (n=960). The difference was also statistically significant (p<0.05). There was no mortality in each group. We founded that previous operations, accompanying diseases, piastronated gallbladder and abnormal gallbladder formed risk factors and increased conversion rate and morbidity. As a result, although the conversion and complication rates in acute colecystititis were significantly higher than those of chronic cholecytitis, LC can also be preferable for the cases of acute cholecystitis due to the advantages of this minimally invasive method.