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Article: Early versus delayed laparoscopic cholecystectomy for treatment of acute cholecystitis

TitleEarly versus delayed laparoscopic cholecystectomy for treatment of acute cholecystitis
Authors
Issue Date1996
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.annalsofsurgery.com
Citation
Annals Of Surgery, 1996, v. 223 n. 1, p. 37-42 How to Cite?
AbstractObjective: The current study compared the results of early versus delayed laparoscopic cholecystectomy for treatment of acute cholecystitis. Summary Background Data: Although recent reports have suggested the use of laparoscopic cholecystectomy for acute cholecystitis, the complication and conversion rates remain high. No data are available on whether initial medical treatment can improve the results. Method: Among 497 patients who underwent laparoscopic cholecystectomy, 52 (10.5%) had a clinical diagnosis of acute cholecystitis confirmed by ultrasonography. Twenty-seven of these patients had early surgery, that is, within 120 hours of admission, and 25 had interval cholecystectomy after initial medical treatment. Results: The early group required modifications in operative technique more frequently (p < 0.001). The conversion rate (7.4%) and minor complication rate (22%) were comparable. Successful early laparoscopic cholecystectomy required a longer operative time (137.2 minutes vs. 98.0 minutes; p < 0.05) and postoperative hospital stay (4.6 days vs. 2.5 days; p < 0.005) but reduced the total hospital stay (6.4 days va. 12.4 days; p < 0.001). Conclusions: Early laparoscopic cholecystectomy for the treatment of acute cholecystitis has no adverse effect on complication and conversion rates. Although it is technically demanding and time consuming, this procedure provides the economic advantage of a markedly reduced total hospital stay.
Persistent Identifierhttp://hdl.handle.net/10722/49314
ISSN
2015 Impact Factor: 8.569
2015 SCImago Journal Rankings: 4.503
PubMed Central ID
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLo, CMen_HK
dc.contributor.authorLiu, CLen_HK
dc.contributor.authorLai, ECSen_HK
dc.contributor.authorFan, STen_HK
dc.contributor.authorWong, Jen_HK
dc.date.accessioned2008-06-12T06:39:15Z-
dc.date.available2008-06-12T06:39:15Z-
dc.date.issued1996en_HK
dc.identifier.citationAnnals Of Surgery, 1996, v. 223 n. 1, p. 37-42en_HK
dc.identifier.issn0003-4932en_HK
dc.identifier.urihttp://hdl.handle.net/10722/49314-
dc.description.abstractObjective: The current study compared the results of early versus delayed laparoscopic cholecystectomy for treatment of acute cholecystitis. Summary Background Data: Although recent reports have suggested the use of laparoscopic cholecystectomy for acute cholecystitis, the complication and conversion rates remain high. No data are available on whether initial medical treatment can improve the results. Method: Among 497 patients who underwent laparoscopic cholecystectomy, 52 (10.5%) had a clinical diagnosis of acute cholecystitis confirmed by ultrasonography. Twenty-seven of these patients had early surgery, that is, within 120 hours of admission, and 25 had interval cholecystectomy after initial medical treatment. Results: The early group required modifications in operative technique more frequently (p < 0.001). The conversion rate (7.4%) and minor complication rate (22%) were comparable. Successful early laparoscopic cholecystectomy required a longer operative time (137.2 minutes vs. 98.0 minutes; p < 0.05) and postoperative hospital stay (4.6 days vs. 2.5 days; p < 0.005) but reduced the total hospital stay (6.4 days va. 12.4 days; p < 0.001). Conclusions: Early laparoscopic cholecystectomy for the treatment of acute cholecystitis has no adverse effect on complication and conversion rates. Although it is technically demanding and time consuming, this procedure provides the economic advantage of a markedly reduced total hospital stay.en_HK
dc.format.extent388 bytes-
dc.format.mimetypetext/html-
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.annalsofsurgery.comen_HK
dc.relation.ispartofAnnals of Surgeryen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.subject.meshCholecystectomy, Laparoscopic - adverse effectsen_HK
dc.subject.meshAcute Diseaseen_HK
dc.subject.meshCholecystitis - surgery - ultrasonographyen_HK
dc.subject.meshTime Factorsen_HK
dc.subject.meshTreatment Outcomeen_HK
dc.titleEarly versus delayed laparoscopic cholecystectomy for treatment of acute cholecystitisen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0003-4932&volume=223&issue=1&spage=37&epage=42&date=1996&atitle=Early+versus+delayed+laparoscopic+cholecystectomy+for+treatment+of+acute+cholecystitisen_HK
dc.identifier.emailLo, CM: chungmlo@hkucc.hku.hken_HK
dc.identifier.emailFan, ST: stfan@hku.hken_HK
dc.identifier.emailWong, J: jwong@hkucc.hku.hken_HK
dc.identifier.authorityLo, CM=rp00412en_HK
dc.identifier.authorityFan, ST=rp00355en_HK
dc.identifier.authorityWong, J=rp00322en_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.doi10.1097/00000658-199601000-00006en_HK
dc.identifier.pmid8554416-
dc.identifier.pmcidPMC1235061-
dc.identifier.scopuseid_2-s2.0-0030065510en_HK
dc.identifier.hkuros10992-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0030065510&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume223en_HK
dc.identifier.issue1en_HK
dc.identifier.spage37en_HK
dc.identifier.epage42en_HK
dc.identifier.isiWOS:A1996TR12100006-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLo, CM=7401771672en_HK
dc.identifier.scopusauthoridLiu, CL=7409789712en_HK
dc.identifier.scopusauthoridLai, ECS=36932159600en_HK
dc.identifier.scopusauthoridFan, ST=7402678224en_HK
dc.identifier.scopusauthoridWong, J=8049324500en_HK

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