Urgent Laparoscopic Cholecystectomy Is the Best Management for Biliary Colic
| Autor: | Bülent Salman, Ozlem Erdem, Oktay Irkorucu, Ertan Tatlicioglu, Nusret Akyürek, Tugan Tezcaner, Ibrahim Dogan, Osman Yüksel |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment General surgery Gastroenterology Biliary colic digestive system diseases Surgery law.invention Clinical trial Randomized controlled trial law polycyclic compounds Emergency medical services Medicine lipids (amino acids peptides and proteins) Cholecystectomy medicine.symptom Elective Surgical Procedure business Prospective cohort study Laparoscopic cholecystectomy |
| Zdroj: | Digestive Surgery. 22:95-99 |
| ISSN: | 1421-9883 0253-4886 |
| DOI: | 10.1159/000085300 |
| Popis: | Background/Aim: Delay of laparoscopic cholecystectomy after the diagnosis of biliary colic may increase the probability of recurrent emergency admission while awaiting elective cholecystectomy. The aim of this study was to compare the possible advantages and safety of urgent laparoscopic cholecystectomy (ULC) with elective laparoscopic cholecystectomy (ELC) in patients with biliary colic. Patients and Methods: Between 2001 and 2003, 75 patients with biliary colic were included in this study. The patients were classified into following two groups: patients who had ULC in 24 h were in group I (n = 28) and patients who had ELC (mean interval 4.22 ± 1.42 months) were in group II (n = 35). Conversion to open cholecystectomy, operative time, postoperative hospital stay, costs, and complications were evaluated. Results: In group II, 9 patients made a total of 13 return visits to the emergency department with recurrent attacks of biliary colic or complications of gallstone disease. Mean operative time increased from 35.1 ± 6.74 min for urgent laparascopic cholecystectomy to 49.9 ± 6.12 min for ELC (p > 0.05) and hospital stay time increased from 1.06 ± 0.4 to 2.31 ± 2.36 days (p < 0.05). Conversion to open cholecystectomy increased from 0% in group I to 17.2% in group II (p < 0.05). Discussion: ULC for biliary colic may be the most medically efficacious and cost-effective treatment. |
| Databáze: | OpenAIRE |
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