Universität zu Köln

Ambe, Peter, Weber, Sebastian A., Christ, Hildegard ORCID: 0000-0003-3235-2994 and Wassenberg, Dirk (2014). Cholecystectomy for acute cholecystitis. How time-critical are the so called golden 72 hours? Or better golden 24 hours and silver 25-72 hour? A case control study. World J. Emerg. Surg., 9. LONDON: BMC. ISSN 1749-7922

Full text not available from this repository.

Abstract

Introduction: Early cholecystectomy within 72 hours has been shown to be superior to late or delayed cholecystectomy with regard to outcome and cost of treatment. Recently, immediate cholecystectomy within 24 hours of onset of symptom was proposed as standard procedure for the management of fit patients presenting with acute cholecystitis. We sort to find out if there are any differences in surgical outcomes between patients managed within 24 h and those managed 25-72 h following symptom begin for acute cholecystitis. Patients and methods: A retrospective analysis was performed. The outcomes of patients undergoing laparoscopic cholecystectomy within 24 h were compared to those of patients managed 25-72 h following symptom onset for acute cholecystitis. Results: 35 patients managed 25-72 h following begin of symptoms were matched with 35 patients with similar baseline features, medical comorbidities and disease severity managed within 24 hours of symptom onset. There were no significant differences in the duration of surgery, postoperative complications, rate of conversion and length of hospital stay. Conclusion: Immediate laparoscopic cholecystectomy for acute cholecystitis within 24 hour of symptom onset is not superior to surgery 25-72 hour after symptoms begin. Laparoscopic cholecystectomy for acute cholecystitis therefore can be safely performed anytime within the golden 72 h.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ambe, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Weber, Sebastian A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Christ, Hildegard UNSPECIFIED orcid.org/0000-0003-3235-2994 UNSPECIFIED Wassenberg, Dirk UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-420179
DOI:	10.1186/1749-7922-9-60
Journal or Publication Title:	World J. Emerg. Surg.
Volume:	9
Date:	2014
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1749-7922
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language DELAYED LAPAROSCOPIC CHOLECYSTECTOMY; COST-UTILITY; GUIDELINES; SURGERY; NEED Multiple languages Emergency Medicine; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/42017