Document Detail


Immediate laparoscopic cholecystectomy for acute cholecystitis: no need to wait.
MedLine Citation:
PMID:  17161089     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Kent A Stevens; Albert Chi; Layla C Lucas; John M Porter; Mark D Williams
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  192     ISSN:  1879-1883     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-12-12     Completed Date:  2006-12-21     Revised Date:  2009-05-20    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  756-61     Citation Subset:  AIM; IM    
Affiliation:
University of Arizona Health Sciences Center, Trauma/Critical Care, Rm 5411, 1501 N Campbell Avenue, Tucson, AZ 85724-5063, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Child
Cholecystectomy, Laparoscopic*
Cholecystitis, Acute / surgery*
Female
Humans
Male
Middle Aged
Retrospective Studies
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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