Immediate laparoscopic cholecystectomy for acute cholecystitis: no need to wait - 17/08/11
Corresponding author. Tel.: +1-520-626-5056; fax: +1-520-626-5016.Abstract |
Background |
Early, within 72 hours, laparoscopic cholecystectomy (LC) for acute chlolecystitis (AC) is the standard of care. We reviewed our experience with immediate (within 24 hours) LC for AC to determine whether this also was safe.
Methods |
Group 1, those patients who had LC for AC within 24 hours was compared with group 2, those who had LC for AC after 24 hours.
Results |
Of 253 consecutive patients, 132 were in group 1 and 121 were in group 2. There were no differences in group 1 versus group 2 in demographics, clinical severity of disease, mean operating time (92 minutes versus 95 minutes, P =.2), conversion (9% versus 6%, P = .3), and complications (7% versus 9%, P = .5). Multivariate logistic regression analysis confirmed that the timing of LC for AC was not associated with longer than average operating times.
Conclusions |
Immediate LC for AC is safe and has become our standard of practice.
Le texte complet de cet article est disponible en PDF.Keywords : Laparoscopic cholecystectomy, Acute cholecystitis, Timing of operation
Plan
Vol 192 - N° 6
P. 756-761 - décembre 2006 Retour au numéro
Article précédent
- Prospective evaluation of a primary laparoscopic approach for children presenting with simple or complicated appendicitis
- David A. Partrick
- Pregnancy outcomes after gastric-bypass surgery
- Tuoc Dao, Joseph Kuhn, Dale Ehmer, Tammy Fisher, Todd McCarty
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?