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Laparoscopic cholecystectomy for acute cholecystitis: Any time is a good time
BACKGROUNDS/AIMS: Laparoscopic cholecystectomy within one week of acute cholecystitis is considered safe and advantageous. Surgery beyond first week is reserved for non-resolving attack or complications. To compare clinical outcomes of patients undergoing laparoscopic cholecystectomy in the first we...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Korean Association of Hepato-Biliary-Pancreatic Surgery
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10472128/ https://www.ncbi.nlm.nih.gov/pubmed/37088998 http://dx.doi.org/10.14701/ahbps.22-127 |
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author | Wani, Hamza Meher, Sadananda Srinivasulu, Uppalapati Mohanty, Laxmi Narayanan Modi, Madhusudan Ibrarullah, Mohammad |
author_facet | Wani, Hamza Meher, Sadananda Srinivasulu, Uppalapati Mohanty, Laxmi Narayanan Modi, Madhusudan Ibrarullah, Mohammad |
author_sort | Wani, Hamza |
collection | PubMed |
description | BACKGROUNDS/AIMS: Laparoscopic cholecystectomy within one week of acute cholecystitis is considered safe and advantageous. Surgery beyond first week is reserved for non-resolving attack or complications. To compare clinical outcomes of patients undergoing laparoscopic cholecystectomy in the first week and between two to six weeks of an attack of acute cholecystitis. METHODS: In an analysis of a prospectively maintained database, all patients who underwent laparoscopic cholecystectomy for acute cholecystitis were divided into two groups: group A, operated within one week; and group B, operated between two to six weeks of an attack. Main variables studied were mean operative time, conversion to open cholecystectomy, morbidity profile, and duration of hospital stay. RESULTS: A total of 116 patients (74 in group A and 42 in group B) were included. Mean interval between onset of symptoms & surgery was five days (range, 1–7 days) in group A and 12 days (range, 8–20 days) in group B. Operative time and incidence of subtotal cholecystectomy were higher in group B (statistically not significant). Mean postoperative stay was 2 days in group A and 3 days in group B. Laparoscopy was converted to open cholecystectomy in two patients in each group. There was no incidence of biliary injury. One patient in group B died during the postoperative period due to continued sepsis and multiorgan failure. CONCLUSIONS: In tertiary care setting, with adequate surgical expertise, laparoscopic cholecystectomy can be safely performed in patients with acute cholecystitis irrespective of the time of presentation. |
format | Online Article Text |
id | pubmed-10472128 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | The Korean Association of Hepato-Biliary-Pancreatic Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-104721282023-09-02 Laparoscopic cholecystectomy for acute cholecystitis: Any time is a good time Wani, Hamza Meher, Sadananda Srinivasulu, Uppalapati Mohanty, Laxmi Narayanan Modi, Madhusudan Ibrarullah, Mohammad Ann Hepatobiliary Pancreat Surg Original Article BACKGROUNDS/AIMS: Laparoscopic cholecystectomy within one week of acute cholecystitis is considered safe and advantageous. Surgery beyond first week is reserved for non-resolving attack or complications. To compare clinical outcomes of patients undergoing laparoscopic cholecystectomy in the first week and between two to six weeks of an attack of acute cholecystitis. METHODS: In an analysis of a prospectively maintained database, all patients who underwent laparoscopic cholecystectomy for acute cholecystitis were divided into two groups: group A, operated within one week; and group B, operated between two to six weeks of an attack. Main variables studied were mean operative time, conversion to open cholecystectomy, morbidity profile, and duration of hospital stay. RESULTS: A total of 116 patients (74 in group A and 42 in group B) were included. Mean interval between onset of symptoms & surgery was five days (range, 1–7 days) in group A and 12 days (range, 8–20 days) in group B. Operative time and incidence of subtotal cholecystectomy were higher in group B (statistically not significant). Mean postoperative stay was 2 days in group A and 3 days in group B. Laparoscopy was converted to open cholecystectomy in two patients in each group. There was no incidence of biliary injury. One patient in group B died during the postoperative period due to continued sepsis and multiorgan failure. CONCLUSIONS: In tertiary care setting, with adequate surgical expertise, laparoscopic cholecystectomy can be safely performed in patients with acute cholecystitis irrespective of the time of presentation. The Korean Association of Hepato-Biliary-Pancreatic Surgery 2023-08-31 2023-04-24 /pmc/articles/PMC10472128/ /pubmed/37088998 http://dx.doi.org/10.14701/ahbps.22-127 Text en Copyright © 2023 by The Korean Association of Hepato-Biliary-Pancreatic Surgery https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Wani, Hamza Meher, Sadananda Srinivasulu, Uppalapati Mohanty, Laxmi Narayanan Modi, Madhusudan Ibrarullah, Mohammad Laparoscopic cholecystectomy for acute cholecystitis: Any time is a good time |
title | Laparoscopic cholecystectomy for acute cholecystitis: Any time is a good time |
title_full | Laparoscopic cholecystectomy for acute cholecystitis: Any time is a good time |
title_fullStr | Laparoscopic cholecystectomy for acute cholecystitis: Any time is a good time |
title_full_unstemmed | Laparoscopic cholecystectomy for acute cholecystitis: Any time is a good time |
title_short | Laparoscopic cholecystectomy for acute cholecystitis: Any time is a good time |
title_sort | laparoscopic cholecystectomy for acute cholecystitis: any time is a good time |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10472128/ https://www.ncbi.nlm.nih.gov/pubmed/37088998 http://dx.doi.org/10.14701/ahbps.22-127 |
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