Clinical analysis for laparoscopic cholecystectomy in gangrenous cholecystitis

Objective To investigate laparoscopic cholecystectomy in urgent treating acute gangrenous cholecystitis.Methods To analyze the clinical variables from 25 patients with acute gangrenous cholecystitis and with laparoscopic cholecystectomy for statistics in the Department of General Surgery,the Second Affiliated Hospital of Kunming Medical College from 2005 to 2007.Results Seventeen patients were successfully undergone laparoscopic cholecystectomy and the successful rate was 68%,but 8 patients had open conversion(32%).The risk factors for gallbladder gangrene included age,complicating diabetes,time of acute onset and white blood counting.It was suggested that the risk for gallbladder gangrene in the aged patients(more than 50 years)with acute chlolecystitis associated with diabetes,long time of acute onset and white blood cell counting greater than 17×109/L was increased.Conclusion Urgent laparoscopic cholecystectomy with low threshold for conversion to open cholecystectomy is an effective treatment for gangrenous cholecystitis.