Is emergent laparoscopic cholecystectomy for acute cholecystitis safe in a low volume resource poor setting?

•We reviewed records of 74 consecutive emergent cholecystectomies for acute cholecystitis.•There were 3 (4.1%) conversions and 6 (8.1%) complications with no CBD injuries or deaths.•Emergent LC for acute cholecystitis is effective and safe in a low-volume setting in the Caribbean.•These technically demanding operations should be performed by trained laparoscopic surgeons.