[ACUTE CHOLECYSTITIS: COMPARATIVE STUDEY OF THREE MEDICAL-SURGICAL ALTERNATIVES].

Three alternatives of surgical treatment for acute cholescystitis were studied. The 40 patients integrating Group I were studied in a retrospective way and received conservative medical treatment and deferred conventional surgery. The 40 patients integrating Group II were studied in a prospective way and they were operated according to conventional technique 72 hours before the beginning of the acute vesicular condition. The 40 patients integrating Group III were studied in a prospective way and they were operated using laparoscopic technique. The operation time, fall of temperature, the removal of the nasogastric tube, the postoperative pain, the oral tolerance and the postoperative hospitalization time were compared. We find out that there is a significant difference between all the aforementioned parameters and, particularly, between the conventional technique and the laparoscopic technique.