Add like
Add dislike
Add to saved papers

Timing of cholecystectomy as the therapy for acute calculous cholecystitis.

INTRODUCTION: Acute calculous cholecystitis is a common disease treated mostly by surgical therapy - laparoscopic cholecystectomy (CHE), particularly upon the common failure of conservative therapy. Timing of the surgery is essential for the development of perioperative complications.

METHODS: We carried out a retrospective study with patients hospitalised at our Department of Surgery, University Hospital Královské Vinohrady between January 2013 and December 2015 for the treatment of acute calculous cholecystitis. We had a set of 209 patients. We looked for the presence of perioperative complications in relation to the time of surgery - cholecystectomy.

RESULTS: Having compared patients with primary surgical treatment of acute calculous cholecystitis we found that twice as many patients after acute cholecystectomy done within 24 hours from admission developed 26% perioperative complications compared to those who had the surgery later than within 24 hours from their admission to the hospital (43.9%). We also found that there was a higher number of conversions from laparoscopic to open cholecystectomy in the group of patient undergoing cholecystectomy within 24 hours from admission.

CONCLUSION: Timing of the surgical treatment of acute calculous cholecystitis is essential for the development of postoperative complications. Acute laparoscopic cholecystectomy done by an experienced surgeon within 24 hours from admission of the patient to the hospital should be the golden standard, irrespective of the duration of the symptoms or severity of the acute cholecystitis. The sooner, the better.

Full text links

We have located links that may give you full text access.
Can't access the paper?
Try logging in through your university/institutional subscription. For a smoother one-click institutional access experience, please use our mobile app.

For the best experience, use the Read mobile app

Mobile app image

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app

All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

By using this service, you agree to our terms of use and privacy policy.

Your Privacy Choices Toggle icon

You can now claim free CME credits for this literature searchClaim now

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app