Ismael Mora-Guzmán1, Marcello Di Martino2, Alvaro Gancedo Quintana1, Elena Martin-Perez1. 1. Department of General and Digestive Surgery, Hospital Universitario de la Princesa, Diego de León Street, 62-4th Floor, 28006, Madrid, Spain. 2. Department of General and Digestive Surgery, Hospital Universitario de la Princesa, Diego de León Street, 62-4th Floor, 28006, Madrid, Spain. marcellodima@gmail.com.
Abstract
BACKGROUND: The optimal timing for early laparoscopic cholecystectomy (ELC) in patients with acute calculous cholecystitis (ACC) is still controversial. The aim of this study was to assess the outcomes of ELC in patients with delayed presentation. METHODS: Retrospective analysis of 381 patients who underwent ELC for ACC between January 2010 and September 2018. Included patients were classified into two groups according to the timing of surgery from the onset of symptoms: group 1 (G1) within the first 7 days and group 2 (G2) beyond 7 days. RESULTS: There were no significant differences regarding conversion rate (G1 8.6% vs. G2 11.8%; p = 0.527), operative time (G1 100 min [75-120] vs. G2 120 min [71-150]; p = 0.060), bile duct injuries (G1 0.3% vs. G2 0%; p = 1), major postoperative complications (G1 11% vs. G2 5.9%; p = 0.557), reoperation rates (G1 1.4% vs. G2 0%; p = 1), length of stay (G1 4 days [3-7] vs. G2 5 days [3-7]; p = 0.539), readmissions (G1 3.7% vs. G2 5.9%; p = 0.633) and costs (G1 6035 € [3693-8330] vs. G2 7243 € [4921-11,336]; p = 0.395). CONCLUSION: ELC may be considered for patients with ACC who can tolerate surgery with more than 1 week of symptom duration.
BACKGROUND: The optimal timing for early laparoscopic cholecystectomy (ELC) in patients with acute calculous cholecystitis (ACC) is still controversial. The aim of this study was to assess the outcomes of ELC in patients with delayed presentation. METHODS: Retrospective analysis of 381 patients who underwent ELC for ACC between January 2010 and September 2018. Included patients were classified into two groups according to the timing of surgery from the onset of symptoms: group 1 (G1) within the first 7 days and group 2 (G2) beyond 7 days. RESULTS: There were no significant differences regarding conversion rate (G1 8.6% vs. G2 11.8%; p = 0.527), operative time (G1 100 min [75-120] vs. G2 120 min [71-150]; p = 0.060), bile duct injuries (G1 0.3% vs. G2 0%; p = 1), major postoperative complications (G1 11% vs. G2 5.9%; p = 0.557), reoperation rates (G1 1.4% vs. G2 0%; p = 1), length of stay (G1 4 days [3-7] vs. G2 5 days [3-7]; p = 0.539), readmissions (G1 3.7% vs. G2 5.9%; p = 0.633) and costs (G1 6035 € [3693-8330] vs. G2 7243 € [4921-11,336]; p = 0.395). CONCLUSION: ELC may be considered for patients with ACC who can tolerate surgery with more than 1 week of symptom duration.
Authors: Francisco J González-Rodríguez; Jesús P Paredes-Cotoré; Cristina Pontón; Yago Rojo; Enrique Flores; Eva San Luis-Calo; Francisco Barreiro-Morandeira; José A Punal; Aquilino Fernández; Ana Paulos; Fernando Santos; Miguel Cainzos Journal: Hepatogastroenterology Date: 2009 Jan-Feb
Authors: Marcello Di Martino; Ismael Mora-Guzmán; Víctor Vaello Jodra; Alfonso Sanjuanbenito Dehesa; Dieter Morales-García; Rubén Caiña Ruiz; Francisca García-Moreno Nisa; Fernando Mendoza-Moreno; Sara Alonso Batanero; José Edecio Quiñones Sampedro; Paola Lora Cumplido; Altea Arango Bravo; Ines Rubio-Perez; Luis Asensio-Gomez; Fernando Pardo Aranda; Sara Sentí I Farrarons; Cristina Ruiz Moreno; Clara Maria Martinez Moreno; Aingeru Sarriugarte Lasarte; Mikel Prieto Calvo; Daniel Aparicio-Sánchez; Eduardo Perea Del Pozo; Elena Martin-Perez Journal: Updates Surg Date: 2021-02