Early versus delayed laparoscopic cholecystectomy in treatment of acute cholecystitis
| Autor: | Ludovit Danihel, M. Rajcok, M. Kukucka, M. Schnorrer, V Bak |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Economics and Econometrics medicine.medical_specialty Time Factors medicine.medical_treatment media_common.quotation_subject Cholecystitis Acute 030230 surgery law.invention Hospitals University 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Surgical department law Early Medical Intervention Materials Chemistry Media Technology Acute cholecystitis Humans Medicine Postoperative Period Prospective Studies Laparoscopic cholecystectomy media_common business.industry Convalescence General surgery Forestry Length of Stay Middle Aged University hospital Anti-Bacterial Agents Treatment Outcome Cholecystectomy Laparoscopic Female 030211 gastroenterology & hepatology Lower cost Cholecystectomy business |
| Zdroj: | Bratislava Medical Journal. 117:328-331 |
| ISSN: | 1336-0345 |
| DOI: | 10.4149/bll_2016_065 |
| Popis: | Background Acute cholecystitis is one of the most frequent diseases occurring in the developed countries of the world. Since the advent of laparoscopic cholecystectomy there has been a lack of agreement regarding the timing of the operation in the treatment of acute cholecystitis. Methods From September 2012 to January 2015 we carried out a prospective randomized trial at the IIIrd Surgical Department of University Hospital Milosrdni bratia in Bratislava. The aim of the trial was to compare the two basic approaches of the treatment of acute cholecystitis. During our trial, 62 patients with acute cholecystitis were admitted to the surgery department and 31 patients were treated with an early laparoscopic cholecystectomy within 72 hours after the appearance of the symptoms. Other 31 patients were primarily treated with antibiotics and subsequently underwent a delayed cholecystectomy after 6-8 weeks. Results Our results suggest several advantages of the early laparoscopic cholecystectomy such as shorter operation time, lower conversion rate, shorter length of hospital stay, shorter postoperative convalescence and lower cost of hospitalization. Conclusion According to these results we believe that immediate laparoscopic cholecystectomy (within 24 hours from the patient's admission to hospital) should become a preferred method of treatment of the patients with acute cholecystitis (Tab. 1, Fig. 2, Ref. 17). |
| Databáze: | OpenAIRE |
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