Effect of delaying same-admission cholecystectomy on outcomes in patients with diabetes

The British Journal of Surgery
R GelbardD Demetriades

Abstract

Recent studies have suggested that same-admission delayed cholecystectomy is a safe option. Patients with diabetes have been shown to have less favourable outcomes after cholecystectomy, but the impact of timing of operation for acute cholecystitis during the same admission is unknown. This was a retrospective analysis of patients undergoing laparoscopic cholecystectomy for acute cholecystitis between 2004 and 2010, from the American College of Surgeons National Surgical Quality Improvement Program database. Patients with no significant co-morbidities (American Society of Anesthesiologists grade I or II) were included. Propensity score matching (PSM) was used to match patients with diabetes with those who did not have diabetes, in a ratio of 1:3, to ensure homogeneity of the two groups. Logistic regression models were applied to adjust for differences between early (within 24 h) and delayed (24 h or more) surgical treatment. The primary outcome was development of local and systemic infectious complications. Secondary outcomes were duration of operation and length of hospital stay. From a total of 2892 patients, 144 patients with diabetes were matched with 432 without diabetes by PSM. Delaying cholecystectomy for at least 24 h a...Continue Reading

References

Jun 1, 1987·Annals of Internal Medicine·D F RansohoffR E Hermann
May 10, 1993·Archives of Internal Medicine·J N AucottD C Aron
Nov 1, 1996·Digestive Diseases and Sciences·B A ChapmanR B Allan
Oct 20, 2001·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·A BedirliZ Yilmaz
Jan 28, 2003·Diabetes Care·Baiju R Shah, Janet E Hux
Mar 9, 2004·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·M PagliaruloD Conte
Oct 21, 2006·The Cochrane Database of Systematic Reviews·K S Gurusamy, K Samraj
Feb 21, 2008·World Journal of Gastroenterology : WJG·Chris N DaniakWilliam B Hale
Jun 19, 2008·Archives of Surgery·Robert A CasillasJ Craig Collins
Oct 14, 2008·Surgery·Manjunath Haridas, Mark A Malangoni
Jul 28, 2010·Surgical Endoscopy·Hannu PaajanenLeo Niskanen
Sep 15, 2011·Critical Care : the Official Journal of the Critical Care Forum·Sarah E SiegelaarJ Hans DeVries
Feb 9, 2013·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Marta BarceloEnrique Rey
May 17, 2013·World Journal of Surgery·Efstathios KaramanosDemetrios Demetriades

❮ Previous
Next ❯

Citations

Jun 21, 2015·The Journal of Surgical Research·Megan SippeyKonstantinos Spaniolas
Jun 17, 2016·World Journal of Emergency Surgery : WJES·L AnsaloniE E Moore
Dec 20, 2017·Current Opinion in Gastroenterology·Mark P Lamberts
Mar 1, 2016·Korean Journal of Hepato-biliary-pancreatic Surgery·Jae Uk ChongKyung Sik Kim
Mar 6, 2015·The Journal of Trauma and Acute Care Surgery·Tobias HaltmeierDemetrios Demetriades
Dec 23, 2015·Annals of Surgery·Charles de MestralAvery B Nathens
Feb 28, 2017·International Journal of Hepatology·Wasana Ko-IamSunhawit Junrungsee
Oct 8, 2020·Surgical Endoscopy·Vincent ChengDemetrios Demetriades
May 13, 2018·The Journal of Emergency Medicine·Arasi ThangaveluDevi Thangavelu

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.