Background Emergency Laparoscopic cholecystectomy (LC) is a well established procedure for acute cholecystitis. However a recent report suggested that about 15% were operated on during their emergency admission. The aim of this study was to evaluate our performance in a district general hospital (DGH). Methods Data of all cholecystectomies performed from 1st April 2003 to 31st March 2008 were analysed. Timing of surgery (Elective vs Emergency), conversion rate, hospital stay and complications were analysed. Results 2011 cholecystectomies were performed during this period. 740 patients had surgery following emergency admission. 488/740 (66%) had their operation at the time of emergency admission and the remaining 252/740 (34%) were admitted later for elective surgery. 8% of the emergency procedures were performed by open approach and the conversion rate was 14.5%. 1523 patients had elective surgery of which 3.7% patients were operated by open approach and the conversion rate was 6.9%. Conclusion In a DGH, consultants having a variety of subspecialty interests, who take part in emergency surgical rota, can safely undertake emergency cholecystectomy. We believe that LC can be done in acute gall stone disease during their index admission with acceptable conversion and complication rates.
