Clinical Practice Guidlines

Early Laparoscopic Surgery Best for Acute Cholecystitis

In patients with acute cholecystitis, performing laparoscopic gallbladder removal within 24 hours of admission, rather than waiting weeks to years after a course of antibiotics has been given, reduces the hospital stay without increasing the risk of complications, new research shows.

The findings, which appear in the Archives of Surgery for June, are based on a review of 173 patients with acute cholecystitis who were admitted to an urban teaching hospital from October 2002 to September 2005.

Seventy-one of the patients (41%) underwent early laparoscopic cholecystectomy, Dr. Robert A. Casillas and colleagues, from Kaiser Permanente Los Angeles Medical Center, report. Of the remaining 102 patients (59%) treated with antibiotics alone, 57 were successfully treated and 45 were not.

Twenty-six of the patients who failed antibiotic therapy underwent late laparoscopic cholecystectomy and 19 were treated with percutaneous cholecystostomy.

Ultimately, 55 patients underwent interval laparoscopic cholecystectomy, defined as removal 2 weeks to 2 years after successful treatment with antibiotics alone or with percutaneous cholecystostomy.

Compared with the interval procedure, early laparoscopic cholecystectomy was associated with a significant reduction in the hospital length of stay. Moreover, the early operation did not increase complications or the rate of conversion to an open procedure.

Despite the advantages seen with early laparoscopic cholecystectomy, it "is not the most common treatment for acute cholecystitis in practice," the authors note.

"For reasons known since the 1960s and now firmly established as valid, efficient, effective, and safe in the laparoscopic era, we renew the plea to our colleagues worldwide to adopt a consistent policy of early laparoscopic cholecystectomy unless specifically contraindicated," the researchers conclude.

Arch Surg 2008;143:533-537.

Reviewed by Ramaz MItaishvili, MD

Visit Vision Group US http://visiongroup.us/

Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident… sunt in culpa qui officia deserunt mollit anim id est laborum. Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam, eaque ipsa quae ab illo inventore veritatis et quasi architecto beatae vitae dicta sunt explicabo. Nemo enim ipsam voluptatem quia voluptas sit aspernatur aut odit aut fugit, sed quia consequuntur magni dolores eos qui ratione voluptatem sequi nesciunt. Lorem ipsum dolor.
“Quis autem vel eum iure reprehenderit qui in ea voluptate velit esse quam nihil molestiae consequatur, vel illum qui dolorem eum”
– Litza Braun

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident. sunt in culpa qui officia deserunt mollit anim id est laborum. Sed ut perspiciatis unde omnis iste natus error sit voluptatem accusantium doloremque laudantium, totam rem aperiam

Explore the diverse landscape of literature

At vero eos et accusamus et iusto odio dignissimos ducimus qui blanditiis praesentium voluptatum deleniti atque corrupti quos dolores et quas molestias excepturi sint occaecati cupiditate non provident, similique sunt in culpa qui officia deserunt mollitia animi, id est laborum et dolorum fuga. Et harum quidem rerum facilis est et expedita distinctio.

Ut enim ad minima veniam, quis nostrum exercitationem ullam corporis suscipit. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id totam rem aperiam, eaque ipsa quae ab illo inventore veritatis et quasi architecto beatae vitae dicta sunt explicabo. Nemo enim ipsam voluptatem quia voluptas sit aspernatur aut odit aut fugit, sed quia consequuntur magni dolores eos qui ratione voluptatem sequi nesciunt.

Neque porro quisquam est, qui dolorem ipsum quia dolor sit amet, consectetur, adipisci velit, sed quia non numquam eius modi tempora incidunt ut labore et dolore magnam aliquam quaerat voluptatem. Ut enim ad minima veniam, quis nostrum exercitationem ullam corporis suscipit. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. 

Eaque ipsa quae ab illo inventore veritatis et quasi architecto beatae vitae dicta sunt explicabo. Nemo enim ipsam voluptatem quia voluptas sit aspernatur aut odit aut fugit, sed quia consequuntur magni dolores eos qui ratione voluptatem sequi nesciunt. Neque porro quisquam est, qui dolorem ipsum quia dolor sit amet, consectetur, adipisci velit sed.
Post Tags :
&quot, acute, alone, and, antibiotics, cholecystectomy, cholecystitis, complications, early, hospital, laparoscopic, not, patients, procedure, stay, surgery, treated, underwent, were, with
Share This :

Leave a Reply

Your email address will not be published. Required fields are marked *

Gina Gagua

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.