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Acute cholecystitis is an inflammatory process presenting with biliary colic that is unremitting and may persist for several days. Obstruction of the cystic duct by a gallstone is the initiating event that leads to distention, inflammation and edema of the gallbladder wall. When the gallbladder remains obstructed and secondary bacterial infection supervenes, an acute gangrenous cholecystitis develops and an abscess or empyema forms within the gallbladder. The perforation usually is contained in the sub-hepatic space by the omentum. Early cholecystectomy performed within 2-3 days of the illness is preferred over interval or delayed cholecystectomy that is performed 6-10 weeks after initial medical treatment and recuperation. Early laparoscopic cholecystectomy (ELC) has been advocated as an emergency procedure to manage acute cholecystitis. Provided that the operation is undertaken within 2-3 days of the onset of the attack, with an experienced surgeon and excellent operating facilities are available, good results can be achieved. The obvious advantages of ELC to the patients include: decrease burden, early return to daily activities, less post-operative pain and better cosmoses [1-3]. This study aimed to evaluate the safety of ELC in the management of acute cholecystitis in a cohort of Sudanese patients in minimum resources settings.

Early Laparoscopic Cholecystectomy for Acute Cholecystitis in a Cohort of Sudanese Patients: Outcome and Complications in Minimum Resource-Settings