Changing trends in surgical management for acute cholecystitis, in light of Tokyo guidelines - 14 year experience.

Objective: To look for trends in surgical management of acute cholecystitis and compare the outcomes of patients with severe condition.

Methods: The retrospective study was conducted at Aga Khan University Hospital, Karachi, from January to December 2016, and comprised data of adult patients who underwent cholecystectomy for acute cholecystitis from January 1, 2001, to December 31, 2014. Record of patients from 2001 to 2007 was designated in Group-1 while Group-II covered period between 2008 and 2014.