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World Journal of Surgery

, Volume 31, Issue 6, pp 1304–1305 | Cite as

Delay from Symptom Onset Increases the Conversion Rate In Laparoscopic Cholecystectomy for Acute Cholecystitis

  • Nathaniel J. SoperEmail author
Invited Commentary

In this month’s World Journal of Surgery, Hadad et al. report a retrospective analysis of patients undergoing attempted laparoscopic cholecystectomy for acute cholecystitis. They assessed whether the interval from the onset of symptoms to operation was related to the conversion rate to open cholecystectomy. Of the entire group, nearly one-fourth were converted to an open cholecystectomy. The conversion rate was 10% among patients operated on within 2 days after the onset of symptoms versus 16% for those operated on 3 or 4 days after the onset of symptoms versus 39% for those operated 5 days or more after the onset of symptoms. The authors recommend operating on these patients as soon as possible after admission.

There are several obvious shortcomings of this study. Foremost among them is that it is a retrospective study, and there are no data relating to other variables that might be considered when determining the optimal timing for operative intervention; these factors may include...

Keywords

Conversion Rate Laparoscopic Cholecystectomy Acute Cholecystitis Adhesion Formation Open Cholecystectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

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    Rattner DW, Ferguson C, Warshaw AL (1993) Factors associated with successful laparoscopic cholecystectomy for acute cholecystitis. Ann Surg 217:233–236PubMedCrossRefGoogle Scholar
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    Lo CM, Liu CL, Fan ST, et al. (1998) Prospective randomized study of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Ann Surg 227:461–467PubMedCrossRefGoogle Scholar
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    Lai PB, Kwong KH, Leung KL, et al. (1998) Randomized trial of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Br J Surg 85:764–767PubMedCrossRefGoogle Scholar
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    Cameron IC, Chadwick C, Phillips J, et al. (2002) Acute cholecystitis—room for improvement? Ann R Coll Surg Engl 84:20–22Google Scholar

Copyright information

© Société Internationale de Chirurgie 2007

Authors and Affiliations

  1. 1.Department of SurgeryNorthwestern University Feinberg School of MedicineChicagoUSA

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