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XII. Summary and Conclusions
was no difference in the results obtained before and after the administration
of non-steroid anti-inflammatories.
Bacteriobilia study was also carried out in the 2 groups; in PI there were
signs of bacterial agents in 57.1%, with aseptic bile in 42.8%.
After the administration of Diclofenac (P2) we verified bacteriobilia in
68.7% and aseptic bile in 31.2%.
There was no difference in the bacteriobilia of the animals submitted to
Diclofecnac.
Our investigations do not allow us to admit the hypothesis of favourable
action of the non-steroid inflammatories in acute cholecystitis.
We can thus conclude that laparoscopic cholecystectomy, like surgery by
laparotomy, should be performed as early as possible as the only proven
treatment of acute cholecystitis.
CONCLUSIONS
Clinical Research
The comparative analysis of cholecystectomy by laparoscopy and by
laparotomy, in acute cholecystitis, showed the following results:
I ) Cholecystectomy by laparoscopy is superior to the same technique by
laparotomy with regards to lower morbidity and shorter hospital stay
(10 and 32%, 5 and 12,1 days respectively - p