Introduction:

acute cholecystitis has a higher risk of developing complications and a prolonged hospital stay in those cases evaluated with greater severity.

Objective:

to compare the Tokyo criteria and the Parkland scale in patients with acute cholecystitis who underwent cholecystectomy by laparoscopy to identify the relationship between both scales and the risk of postoperative complications and increase in surgical time and hospital stay.

Material and methods:

a retrospective and descriptive study collected information from the electronic record of 383 patients who underwent laparoscopic cholecystectomy for acute cholecystitis from January 2021 to January 2022 at the Hospital Angeles Pedregal. Hospital stay time, surgical time, degree of severity by Tokyo, Parkland classification in transoperative, and complications were retrieved.

Results:

surgical time and days of hospital stay are directly proportional to the severity scale of both scales.

Conclusion:

both the Tokyo classification and the Parkland scale function as a good predictors of complications in patients with the highest severity in both scales, also reflected in an increase in surgical time and hospital stay.