Admission after the gold interval in acute calculous cholecystitis: Should we really cool it off?
- Resource Type
- Authors
- Kıvanç Derya Peker; Hakan Yırgın; Halil Alis; Mehmet Abdussamet Bozkurt; Murat Gönenç
- Source
- Europe PubMed Central
- Subject
- Adult
Male
medicine.medical_specialty
Time Factors
Adolescent
Sports medicine
medicine.medical_treatment
Cholecystitis, Acute
030230 surgery
Critical Care and Intensive Care Medicine
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
Cholelithiasis
medicine
Humans
Cholecystectomy
Orthopedics and Sports Medicine
Aged
Retrospective Studies
Bile duct
business.industry
Medical record
General surgery
Retrospective cohort study
Middle Aged
medicine.disease
Treatment Outcome
medicine.anatomical_structure
Cholecystostomy
Emergency Medicine
Cholecystitis
Female
030211 gastroenterology & hepatology
Surgery
Complication
business
- Language
- ISSN
- 1863-9941
1863-9933
The aim of this study was to compare early and delayed cholecystectomy for the treatment of acute calculous cholecystitis (ACC). The medical records of patients who were diagnosed to have ACC by combined clinical and radiological examination were evaluated retrospectively. The patients were divided into two non-randomized groups according to the duration between the onset of symptoms and cholecystectomy. Group 1 included the patients who underwent cholecystectomy within the first 72 h after the onset of symptoms and Group 2 those who underwent beyond the 72nd hour after the onset of symptoms. We reviewed records for 203 patients. There were 109 patients in Group 1 and 74 patients in Group 2. Access-related complications occurred in four patients. One patient in Group 1 and two patients in Group 2 had trocar site bleeding. In one patient in Group 1, liver trauma occurred. Two patients had bile duct injury in Group 1 as Type D injury according to the Strasberg classification in one patient and E2 injury in other. Early cholecystectomy in acute cholecystitis with biliary stones could be performed regardless of time with similar complication, mortality and conversion rates.