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Early Versus Delayed Cholecystectomy

2017-04-21 07:08:22 | BioPortfolio

Summary

This study examines complications, mortality rates, cost-effectiveness and safety of early laparoscopic cholecystectomy (ELC) versus delayed laparoscopic cholecystectomy (DLC). Group L (n:88) patients treated surgically with laparoscopic cholecystectomy immediately or Group D (n:88) patients first treated medically and than treated surgically with delayed (4-8 weeks later) laparoscopic cholecystectomy.

Description

There is only few knowledge about the comparison of early laparoscopic cholecystectomy (ELC) versus delayed laparoscopic cholecystectomy (DLC) for the treatment of acute cholecystitis considering the surgeon's work experience. This study examines complications, mortality rates, cost-effectiveness and safety of DLC versus ELC. This prospective randomized clinical trial was performed between November 2015-2016 in our General Surgery Clinic. Patients suffering acute cholecystitis in their first 72 hours of pain were enrolled in one of the two study groups: Group L (n:88) patients treated surgically with laparoscopic cholecystectomy immediately or Group D (n:88) patients first treated medically and than treated surgically with delayed (4-8 weeks later) laparoscopic cholecystectomy. All operations and medical treatments were done by surgeons having work experience <2 years.

Study Design

Conditions

Acute Cholecystitis

Intervention

laparoscopic cholecystectomy

Status

Completed

Source

Sisli Etfal Training & Research Hospital

Results (where available)

View Results

Links

Published on BioPortfolio: 2017-04-21T07:08:22-0400

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PubMed Articles [6774 Associated PubMed Articles listed on BioPortfolio]

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Medical and Biotech [MESH] Definitions

Excision of the gallbladder through an abdominal incision using a laparoscope.

A variant of acute cholecystitis with inflammation of the GALLBLADDER that is characterized by the pockets of gas in the gallbladder wall. It is due to secondary infection caused by gas-forming organisms, and has a high risk of perforation.

Acute inflammation of the GALLBLADDER wall. It is characterized by the presence of ABDOMINAL PAIN; FEVER; and LEUKOCYTOSIS. Gallstone obstruction of the CYSTIC DUCT is present in approximately 90% of the cases.

Surgical removal of the GALLBLADDER.

Inflammation of the GALLBLADDER wall in the absence of GALLSTONES.

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