How early is early laparoscopic treatment of acute cholecystitis?

Background: Despite the well-accepted success of laparoscopic cholecystectomy in elective treatment of symptomatic cholelithiasis, the efficacy and timing of this technique has been subject to some debate in the setting of acute cholecystitis. This study was undertaken to evaluate our institution’s...

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Bibliographic Details
Published in:The American journal of surgery 2002-03, Vol.183 (3), p.232-236
Main Authors: Madan, Atul K, Aliabadi-Wahle, Shaghayegh, Tesi, Donna, Flint, Lewis M, Steinberg, Steven M
Format: Article
Language:English
Subjects:
Acute Disease
Adult
Aged
Biological and medical sciences
Cholecystectomy
Cholecystectomy, Laparoscopic
Cholecystectomy, Laparoscopic - adverse effects
Cholecystectomy, Laparoscopic - methods
Cholecystitis
Cholecystitis - diagnosis
Cholecystitis - surgery
Contraindications
Conversion
Dissection
Early experience
Female
Follow-Up Studies
Gallbladder
Gallbladder diseases
Gallstones
Hospitalization
Hospitals
Humans
Inflammation
Laparoscopy
Liver, biliary tract, pancreas, portal circulation, spleen
Male
Medical sciences
Middle Aged
Patients
Postoperative Complications
Probability
Retrospective Studies
Risk Assessment
Severity of Illness Index
Statistics, Nonparametric
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Time Factors
Treatment Outcome
Ultrasonic imaging
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Summary:Background: Despite the well-accepted success of laparoscopic cholecystectomy in elective treatment of symptomatic cholelithiasis, the efficacy and timing of this technique has been subject to some debate in the setting of acute cholecystitis. This study was undertaken to evaluate our institution’s experience with early cholecystectomy as a safe, effective treatment of acute cholecystitis. Methods: Charts of all patients who had undergone laparoscopic cholecystectomy for the diagnosis of acute cholecystitis were reviewed. Patients were divided into two groups based on the length of time from onset of symptoms to surgical intervention: less than 48 hours in the early group (n = 14) and more than 48 hours in the late group (n = 31). Results: Comparing the two groups, the conversion rate to an open procedure was significantly less (0 versus 29%, P
ISSN:0002-9610
1879-1883
DOI:10.1016/S0002-9610(02)00789-4