Why Surgery for Cholecystitis Is Typically Delayed for Three Months

Waiting three months before undergoing surgery for cholecystitis is a widely accepted clinical practice. When an acute gallbladder attack occurs, the surrounding tissues often become severely inflamed and swollen within the first one to two months. Performing surgery during this period significantly increases the risk of complications such as excessive bleeding or damage to the bile ducts.

Delaying surgery allows the inflammation to subside, making the procedure safer and more effective. After the initial episode is controlled through medication and rest, a laparoscopic cholecystectomy (minimally invasive gallbladder removal) can be performed with fewer risks and better outcomes. This approach also allows the surgical team to better plan the procedure and ensures the patient is in a more stable condition.

In some cases, however, emergency surgery may be necessary if symptoms are severe and unresponsive to conservative treatment. This is typically done within the first week of the attack, before inflammation becomes too intense. Beyond that timeframe, the risk of complications rises significantly, making emergency surgery less favorable.

For patients who are not suitable candidates for immediate surgery due to health complications, an alternative treatment option is percutaneous cholecystostomy. This involves inserting a tube into the gallbladder to drain infected bile, which can help alleviate symptoms and control infection. Once the inflammation has improved, a planned laparoscopic removal of the gallbladder can be scheduled for a later date.

Overall, timing plays a crucial role in the success and safety of gallbladder surgery following an acute attack. Doctors carefully evaluate each case to determine the best course of action based on the patient's condition and overall health.