yemenjmedYemen Journal of MedicinecoVolume 2 Issue 1MultidisciplinaryEnglishJanuary - April 2023 NNY20230510ArticleAcute gallbladder disease – The virtue of performing a laparoscopic cholecystectomy in the early stages of case managementEnglishY1824Naseralla Juma ElsaadiSuliman1EnglishN2EnglishY10.32677/yjm.v2i1.3883Background: In a Benghazi Medical Center, this observational study assessed the role of laparoscopic Cholecystectomy in the early stages of acute gallbladder illness. Methods: From January 2022 to December 2022, all emergency and urgent admissions for acute gallbladder disease were identified, and additionally, data from hospital medical records were then evaluated retrospectively. Results: Out of a total of 334 patients with gallstone diseases, we found 321 individuals (206 with acute biliary colic, 115 with acute calculous cholecystitis), and 13 with acalculous cholecystitis. Early laparoscopic surgery for acute calculous cholecystitis had a greater conversion rate than procedures for acute biliary discomfort (19% versus 4%; P = 0.002). When surgery was performed 72 hours from the onset of the symptoms for patients with acute calculous cholecystitis, the conversion rate was considerably lower (one out of 25) than when surgery was postponed past 72 hours (14 out of 53) or later performed electively (seven out of 23) (P = 0.014). In comparison to elective surgery for acute biliary colic (three of 66), elective surgery for prior acute cholecystitis was linked to a higher conversion rate (seven of 22 patients) (P = 0.002). Conclusion: Laparoscopic cholecystectomy for acute calculous cholecystitis needs to be done within 72 hours of the onset of symptoms, and it is worthwhile.EnglishAcute biliary colic, Acute calculous cholecystitis, Conversion rates, Laparoscopic cholecystectomyhttps://yemenjmed.com/admin/abstract?id=45References1619REFERENCESvan der LindenW, Sunzel H. Early versus delayed operation for acute cholecystitis. A controlled clinical trial. Am J Surg 1970; 120: 7and;ndash;13.McArthur P, Cuschieri A, Sells RA, et al. Controlled clinical trial comparing early with interval cholecystectomy for acute cholecystitis. Br J Surg 1975; 62: 850and;ndash;852.Wilson RG, Macintyre IM, Nixon SJ, et al. Laparoscopic cholecystectomy is a safe and effective treatment for severe acute cholecystitis. BMJ 1992; 305: 394and;ndash;396.Lo CM, Liu CL, Lai EC, et al. Early versus delayed laparoscopic cholecystectomy for treatment of acute cholecystitis. 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