Abstract
Background
Laparoscopic cholecystectomy (LC) is safe in acute cholecystitis, but the exact timing remains ill-defined. This study evaluated the effect of timing of LC in patients with acute cholecystitis.
Methods
Prospective data from the hospital registry were reviewed. All patients admitted with acute cholecystitis from June 1994 to January 2004 were included in the cohort.
Results
Laparoscopic cholecystectomy was attempted in 1,967 patients during the study period; 80% were women, mean patient age was 44 years (range, 20–73 years). Of the 1,967 LC procedures, 1,675 were successful, and 292 were converted to an open procedure (14%). Mean operating time for LC was 1 h 44 min (SD ± 50 min), versus 3 h 5 min (SD ± 79 min) when converted to an open procedure. Average postoperative length of stay was 1.89 days (± 2.47 days) for the laparoscopic group and 4.3 days (± 2.2 days) for the conversion group. No clinically relevant differences regarding conversion rates, operative times, or postoperative length of stay were found between patients who were operated on within 48 h compared to those patients who were operated on post-admission days 3–7.
Conclusions
The timing of laparoscopic cholecystectomy in patients with acute cholecystitis has no clinically relevant effect on conversion rates, operative times, or length of stay.
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References
Bender JS, Duncan MD, Freeswick PD, Harmon JW, Magnuson TH (2002) Increased laparoscopic experience does not lead to improved results with acute cholecystitis. Am J Surg 184:591–594; discussion 594–595
Bhattacharya D, Senapati PS, Hurle R, Ammori BJ (2002) Urgent versus interval laparoscopic cholecystectomy for acute cholecystitis: a comparative study. J Hepatobiliary Pancreat Surg 9:538–542
Bittner R, Leibl B, Kraft K, Butters M, Nick G, Ulrich M (1997) Laparoscopic cholecystectomy in therapy of acute cholecystitis: immediate versus interval operation. Chirurg 68:237–243
Chandler CF, Lane JS, Ferguson P, Thompson SW (2000) Prospective evaluation of early versus delayed laparoscopic cholecystectomy for treatment of acute cholecystitis. Am Surg 66:896–900
Cheema S, Brannigan AE, Johnson S, Delaney PV, Grace PA (2003) Timing of laparoscopic cholecystectomy in acute cholecystitis. Ir J Med Sci 172:128–131
Chikamori F, Kuniyoshi N, Shibuya S, Takase Y (2002) Early scheduled laparoscopic cholecystectomy following percutaneous transhepatic gallbladder drainage for patients with acute cholecystitis. Surg Endosc 16:1704–1707
Eldar S, Eitan A, Bickel A, Sabo E, Cohen J, Abrahamson J, Matter I (1999) The impact of patient delay and physician delay on the outcome of laparoscopic cholecystectomy for acute cholecystitis. Am J Surg 178:303–307
Eldar S, Sabo E, Nash E, Abrahamson J, Matter I (1997) Laparoscopic cholecystectomy for acute cholecystitis: prospective trial. World J Surg 21:540–545
Eldar S, Sabo E, Nash E, Abrahamson J, Matter I (1997) Laparoscopic versus open cholecystectomy in acute cholecystitis. Surg Laparosc Endosc 7:407–414
Garber SM, Korman J, Cosgrove JM, Cohen JR (1997) Early laparoscopic cholecystectomy for acute cholecystitis. Surg Endosc 11:347–350
Koo KP, Thirlby RC (1996) Laparoscopic cholecystectomy in acute cholecystitis. What is the optimal timing for operation? Arch Surg 131:540–544; discussion 544–545
Koperna T, Kisser M, Schulz F (1999) Laparoscopic versus open treatment of patients with acute cholecystitis. Hepatogastroenterology 46:753–757
Krahenbühl L, Sclabas G, Moritz N, Wente M, Schäfer R, Schlumpf R, Büchler MW (2001) Incidence, risk factors, and prevention of biliary tract injuries during laparoscopic cholecystectomy in Switzerland. World J Surg 25:1325–1330
Lo CM, Liu CL, Lai EC, Fan ST, Wong J (1996) Early versus delayed laparoscopic cholecystectomy for treatment of acute cholecystitis. Ann Surg 223:37–42
Lo CM, Liu CL, Lai EC, Fan ST, Wong J (1998) Prospective randomized study of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Ann Surg 227:461–467
Madan AK, Aliabadi-Wahle S, Tesi D, Flint LM, Steinberg SM (2002) How early is early laparoscopic treatment of acute cholecystitis? Am J Surg 183:232–236
Pessaux P, Tuech JJ, Regenet N, Fauvet R, Boyer J, Arnaud JP (2000) Laparoscopic cholecystectomy in the treatment of acute cholecystitis. Prospective non-randomized study. Gastroenterol Clin Biol 24:400–403
Pessaux P, Tuech JJ, Rouge C, Duplessis R, Cervi C, Arnaud JP (2000) Laparoscopic cholecystectomy in acute cholecystitis. A prospective comparative study in patients with acute vs. chronic cholecystitis. Surg Endosc 14:358–361
Prakash K, Jacob G, Lekha V, Venugopal A, Venugopal B, Ramesh H (2002) Laparoscopic cholecystectomy in acute cholecystitis. Surg Endosc 16:180–183
Suter M, Meyer A (2001) A 10-year experience with the use of laparoscopic cholecystectomy for acute cholecystitis: is it safe? Surg Endosc 15:1187–1192
Wu X, Merchuk JC (2002) Simulation of algae growth in a bench-scale bubble column reactor. Biotechnol Bioeng 80:156–168
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Soffer, D., Blackbourne, L.H., Schulman, C.I. et al. Is there an optimal time for laparoscopic cholecystectomy in acute cholecystitis?. Surg Endosc 21, 805–809 (2007). https://doi.org/10.1007/s00464-006-9019-5
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DOI: https://doi.org/10.1007/s00464-006-9019-5