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- Title
Is there an optimal time for laparoscopic cholecystectomy in acute cholecystitis?
- Authors
Soffer, D.; Blackbourne, L.; Schulman, C.; Goldman, M.; Habib, F.; Benjamin, R.; Lynn, M.; Lopez, P.; Cohn, S.; McKenney, M.; Blackbourne, L H; Schulman, C I; Lopez, P P; Cohn, S M; McKenney, M G
- Abstract
<bold>Background: </bold>Laparoscopic cholecystectomy (LC) is safe in acute cholecystitis, but the exact timing remains ill-defined. This study evaluated the effect of timing of LC in patients with acute cholecystitis.<bold>Methods: </bold>Prospective data from the hospital registry were reviewed. All patients admitted with acute cholecystitis from June 1994 to January 2004 were included in the cohort.<bold>Results: </bold>Laparoscopic cholecystectomy was attempted in 1,967 patients during the study period; 80% were women, mean patient age was 44 years (range, 20-73 years). Of the 1,967 LC procedures, 1,675 were successful, and 292 were converted to an open procedure (14%). Mean operating time for LC was 1 h 44 min (SD +/- 50 min), versus 3 h 5 min (SD +/- 79 min) when converted to an open procedure. Average postoperative length of stay was 1.89 days (+/- 2.47 days) for the laparoscopic group and 4.3 days (+/- 2.2 days) for the conversion group. No clinically relevant differences regarding conversion rates, operative times, or postoperative length of stay were found between patients who were operated on within 48 h compared to those patients who were operated on post-admission days 3-7.<bold>Conclusions: </bold>The timing of laparoscopic cholecystectomy in patients with acute cholecystitis has no clinically relevant effect on conversion rates, operative times, or length of stay.
- Subjects
CHOLECYSTECTOMY; CHOLECYSTITIS; GALLBLADDER surgery; SURGICAL complications; ENDOSCOPIC surgery; MEDICAL research; LENGTH of stay in hospitals; LAPAROSCOPIC surgery; LONGITUDINAL method; TIME; TREATMENT effectiveness; ACQUISITION of data
- Publication
Surgical Endoscopy & Other Interventional Techniques, 2007, Vol 21, Issue 5, p805
- ISSN
1866-6817
- Publication type
journal article
- DOI
10.1007/s00464-006-9019-5