To investigate the clinical value of early laparoscopic cholecystectomy and delayed laparoscopic cholecystectomy in the treatment of mild to medium acute cholecystitis.

From December 2017 to December 2018, 80 patients with mild and moderate acute cholecystitis (Grade grade: Grade I to grade II) were divided into ELC group (40 cases) (acute cholecystitis≤72 h) and DLC group (40 cases) (acute cholecystitis>72 h). SPSS21.0 statistical software was used to evaluate intraoperative and postoperative clinical indicators. The postoperative clinical indexes were expressed as mean±standard deviation, and independent t test was used for examination. Chi-square test was used to compare the incidence of postoperative complications between two groups.

There were no significant difference between ELC group and DLC group, in terms of operation time, intraoperative bleeding and the conversion rate of (7.5% vs. 12.5%), and incidence of complications of (27.5% vs. 20%). The hospitalization of ELC group was shorter than that in DLC group [(11.26±1.65) d vs. (16.48±1.76) d, χ²=2.164, P=0.034]. There was no significant difference in terms of white blood cell count and neutrophil percentage POD 1 d, 3 d and 7 d between the 2 groups before operation (P>0.05).

ELC is effective in treating mild to medium acute cholecystitis as well as DLC, however it could shorten the length of hospital stay and reduce medical cost.