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Feasibility and Safety of Urgent Laparoscopic Cholecystectomy for Acute Cholecystitis After 4 Days from Symptom Onset

  • Original Article
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Journal of Gastrointestinal Surgery Aims and scope

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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Authors and Affiliations

  1. Department of Surgery, Toyonaka Municipal Hospital, 4-14-1 Shibaharacho, Toyonaka, Osaka, 560-8565, Japan

    Go Shinke, Takehiro Noda, Hisanori Hatano, Masashi Hirota, Akihiro Takata, Kazuteru Oshima, Tsukasa Tanida, Takamichi Komori, Shunji Morita, Hiroshi Imamura, Takashi Iwazawa, Kenzo Akagi & Keizo Dono

  2. Department of Surgery, Osaka Rosai Hospital, Sakai, Osaka, Japan

    Junzo Shimizu

Authors
  1. Go Shinke
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  2. Takehiro Noda
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  3. Hisanori Hatano
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  4. Junzo Shimizu
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  5. Masashi Hirota
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  6. Akihiro Takata
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  8. Tsukasa Tanida
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  9. Takamichi Komori
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  10. Shunji Morita
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  11. Hiroshi Imamura
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  12. Takashi Iwazawa
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  13. Kenzo Akagi
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  14. Keizo Dono
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Corresponding author

Correspondence to Takehiro Noda.

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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

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