TY - JOUR
T1 - Immediate laparoscopic cholecystectomy for acute cholecystitis
T2 - no need to wait
AU - Stevens, Kent A.
AU - Chi, Albert
AU - Lucas, Layla C.
AU - Porter, John M.
AU - Williams, Mark D.
PY - 2006/12/1
Y1 - 2006/12/1
N2 - 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.
AB - 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.
KW - Acute cholecystitis
KW - Laparoscopic cholecystectomy
KW - Timing of operation
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U2 - 10.1016/j.amjsurg.2006.08.040
DO - 10.1016/j.amjsurg.2006.08.040
M3 - Article
C2 - 17161089
AN - SCOPUS:33845345284
SN - 0002-9610
VL - 192
SP - 756
EP - 761
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 6
ER -