Emergency laparoscopic cholecystectomy in an unselected cohort: a safe and viable option in a specialist centre

International Journal of Surgery
K Saeb-ParsyA M Harris

Abstract

Patients presenting acutely with symptomatic gallstone-related disease have historically had their laparoscopic cholecystectomy (LC) deferred due to perceived increased operative risks in the acute setting, particularly conversion to open surgery. The aim of this study was to compare morbidity and mortality between unselected cohorts of patients undergoing elective and 'emergency' LC in a District General Hospital. All gallstone-related elective and emergency admissions under the care of two specialist laparoscopic surgeons during a two-year period were included. Patients admitted acutely with a diagnosis of biliary colic, acute cholecystitis or gallstone pancreatitis underwent 'emergency' LC during the same admission. Data were collected prospectively on patient demographics, inpatient stay, post-operative course and POSSUM scores. 423 patients underwent LC, of which 301 (71.1%) were elective and 122 (28.9%) were 'emergency' procedures. ASA grades and POSSUM physiologic scores were similar between the two groups. The overall morbidity rates were similar in the emergency and elective groups (13.1% vs. 7.3%, p = 0.088), and there was no significant difference in the rates of major complications including conversion to open surge...Continue Reading

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Citations

Sep 7, 2014·Digestive Diseases and Sciences·Klaus BielefeldtDhiraj Yadav
Jun 30, 2015·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Alexander SeagerGiuseppe Garcea
May 11, 2017·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Saulo José Oliveira FelícioMateus de Oliveira Torres

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