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Background: The ‘golden 72 hours’ rule from the onset of symptoms still applies in laparoscopic cholecystectomy for acute cholecystitis. This rule has been discussed with increasing experience in laparoscopic surgery in recent years.

Objective: This study aims to determine the optimal symptom duration based on the surgeon's volume when deciding on early laparoscopic cholecystectomy for acute cholecystitis.

Materials and Methods: The patients were categorized into two groups: Group 1 (≤ 3 days) and Group 2 (> 3 days) based on the symptom duration, and high-volume surgeons (performing> 100 laparoscopic cholecystectomies in a year) and low-volume surgeons (performing< 100 laparoscopic cholecystectomies in a year) based on the surgeon volume. All surgeons had received advanced training in laparoscopic surgery.

Results: There was no statistical difference in postoperative outcomes between groups …