Objective: To evaluate the safety and efficacy of laparoscopic cholecystectomy in Empyema of gallbladder.
Empyema of gallbladder is life threatening condition and is produced by suppuration superimposed on acute cholecystitis.
Empyema of gallbladder is one of the complications of acute cholecystitis.
Male Female 1 Simple chronic cholecystitis 28 138 69.2 with cholelithiasis 2 Simple acute on chronic 0 10 4.2 cholecystitis with cholelithiasis 3 Acute acalculus 0 5 2.1 cholecystitis 4 Acute cholecystitis with 2 16 7.5 mucocele of gallbladder 5 Acute cholecystitis with 2 11 5.4 empyema of gallbladder
6 Gallstone with pancreatitis -- -- -- 7 Acute cholecystitis with -- -- -- gallbladder perforation 8 Acute cholecystitis 1 0 0.4 gallbladder gangrene 9 Gallstone ileus -- -- -- 10 Carcinoma gallbladder 2 5 2.9 11 Mirizzi's syndrome -- -- -- 12 Chronic cholecystitis with 1 13 5.8 choledocholithiasis 13 Benign GB polyp with acute 1 1 0.8 acalculus cholecystitis 14 Asymptomatic chronic 1 3 1.7 cholelithiasis
Due to increased surgical experience and technical innovations, majority of patients with acute cholecystitis, empyema of gallbladder
, gangrenous gallbladder, obesity, and pregnancy, cirrhosis of liver and upper abdominal surgery are no more considered contraindicated for LC.
Surgical finding was empyema of gallbladder
with single stone in the neck of gallbladder.
Symptomatic gallstone disease may lead to complications including acute cholecystitis, chronic cholecystitis, empyema of gallbladder
, mucocele, choledocholithiasis with or without cholangitis, gallstone pancreatitis, gallstone ileus, and gallbladder carcinoma4.
There is increased incidence of complications during laparoscopic cholecystectomy for empyema of gallbladder.
Forty patients of empyema of gallbladder were identified and included in the study population who underwent laparoscopic cholecystectomy.
The LC is a safe and acceptable option in empyema of gallbladder. There are, however, significant technical difficulties but these can be overcome with the surgeon's experience.
Out of 200 consecutive laparoscopic cholecystectomies, 69 Percent patients had gallstones presenting with biliary colic or chronic cholecystitis and 26.5 Percent had a diagnosis of acute cholecystitis depending upon clinical, radiological and laparoscopic findings, 4.5 Percent patients were diagnosed as empyema of gallbladder