Surgeon Preference May Be More Important Than Models of Care When It Comes to Early Laparoscopic Cholecystectomy Rates for Acute Cholecystitis
- Resource Type
- Authors
- Georgia Marr; Daniel Feng; Jon Gani; Luke Petschack
- Source
- Journal of Surgery. 8:228
- Subject
- medicine.medical_specialty
Standard of care
business.industry
medicine.medical_treatment
General surgery
Intraoperative cholangiogram
Acute cholecystitis
Medicine
In patient
Cholecystectomy
business
Hospital stay
Laparoscopic cholecystectomy
- Language
- ISSN
- 2330-0914
Aim: Early Laparoscopic Cholecystectomy (ELC) for acute cholecystitis is widely accepted as the standard of care. The capacity to deliver this has been strongly linked to the establishment of Acute Surgical Units (ASU). This study aimed to determine the relative effects of surgeon preference on ELC rates. Method: A retrospective audit of patients with acute cholecystitis was carried out over 6 months in 3 hospitals in 2018. One hospital had an ASU and 2 hospitals had no ASU. The timing of cholecystectomy, intraoperative cholangiogram rates and length of hospital stay were collected. Results: 175 patients were included; 92 admitted to the ASU hospital and 83 admitted to non-ASU hospitals. When adjusted for severity, the ELC rate was 62% and 31% (P