Abstract
Background
It is preferable to perform laparoscopic cholecystectomy for acute cholecystitis in the acute phase, within 72 h of symptom onset. The feasibility and safety of performing urgent laparoscopic cholecystectomy in the late phase (4–7 days after symptom onset) are unclear. The aim of this study was to clarify the feasibility and safety of late phase urgent laparoscopic cholecystectomy.
Methods
Between 2005 and 2014, 233 patients underwent urgent laparoscopic cholecystectomy for acute cholecystitis within 7 days. We compared clinical features and perioperative outcomes between patients who underwent laparoscopic cholecystectomy within 3 days (early phase group) and 4–7 days after symptom onset (late phase group).
Results
There were 193 patients in the early phase group and 40 patients in the late-phase group. Performing laparoscopic cholecystectomy in the late phase did not influence operation time, postoperative complications, or postoperative hospital stay. The rate of conversion to open surgery and blood loss were slightly higher in the late-phase group (8 % and 140 ml) compared with the early phase group (3 % and 69 ml) but were still acceptable.
Conclusions
Late phase urgent laparoscopic cholecystectomy for acute cholecystitis was feasible and safe.
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Disclosures
None of the authors have any conflicts of interest or financial ties to disclose.
Author Contributions
Study design: T. Noda and K. Dono
Acquisition of data: G. Shinke, T. Noda, and H. Hatano
Analysis and interpretation: T. Noda, K. Dono, and J. Shimizu
Manuscript drafted by G. Shinke and T. Noda
Revision: M. Hirota, A. Takata, K. Oshima, T. Tanida, T. Komori, S. Morita, H. Imamura
Statistical advice: T. Iwazawa and K. Akagi
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Shinke, G., Noda, T., Hatano, H. et al. Feasibility and Safety of Urgent Laparoscopic Cholecystectomy for Acute Cholecystitis After 4 Days from Symptom Onset. J Gastrointest Surg 19, 1787–1793 (2015). https://doi.org/10.1007/s11605-015-2878-0
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DOI: https://doi.org/10.1007/s11605-015-2878-0