Is there an optimal time for laparoscopic cholecystectomy in acute cholecystitis?

D. Soffer, L. H. Blackbourne, Carl I Schulman, M. Goldman, F. Habib, R. Benjamin, Mauricio Lynn, P. P. Lopez, S. M. Cohn, M. G. McKenney

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Background: Laparoscopic cholecystectomy (LC) is safe in acute cholecystitis, but the exact timing remains ill-defined. This study evaluated the effect of timing of LC in patients with acute cholecystitis. Methods: Prospective data from the hospital registry were reviewed. All patients admitted with acute cholecystitis from June 1994 to January 2004 were included in the cohort. Results: Laparoscopic cholecystectomy was attempted in 1,967 patients during the study period; 80% were women, mean patient age was 44 years (range, 20-73 years). Of the 1,967 LC procedures, 1,675 were successful, and 292 were converted to an open procedure (14%). Mean operating time for LC was 1 h 44 min (SD ± 50 min), versus 3 h 5 min (SD ± 79 min) when converted to an open procedure. Average postoperative length of stay was 1.89 days (± 2.47 days) for the laparoscopic group and 4.3 days (± 2.2 days) for the conversion group. No clinically relevant differences regarding conversion rates, operative times, or postoperative length of stay were found between patients who were operated on within 48 h compared to those patients who were operated on post-admission days 3-7. Conclusions: The timing of laparoscopic cholecystectomy in patients with acute cholecystitis has no clinically relevant effect on conversion rates, operative times, or length of stay.

Original languageEnglish
Pages (from-to)805-809
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Volume21
Issue number5
DOIs
StatePublished - May 1 2007

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Acute Cholecystitis
Laparoscopic Cholecystectomy
Length of Stay
Operative Time
Registries

Keywords

  • Cholecystectomy
  • Complications
  • Laparoscopic
  • Timing

ASJC Scopus subject areas

  • Surgery

Cite this

Is there an optimal time for laparoscopic cholecystectomy in acute cholecystitis? / Soffer, D.; Blackbourne, L. H.; Schulman, Carl I; Goldman, M.; Habib, F.; Benjamin, R.; Lynn, Mauricio; Lopez, P. P.; Cohn, S. M.; McKenney, M. G.

In: Surgical Endoscopy and Other Interventional Techniques, Vol. 21, No. 5, 01.05.2007, p. 805-809.

Research output: Contribution to journalArticle

Soffer, D, Blackbourne, LH, Schulman, CI, Goldman, M, Habib, F, Benjamin, R, Lynn, M, Lopez, PP, Cohn, SM & McKenney, MG 2007, 'Is there an optimal time for laparoscopic cholecystectomy in acute cholecystitis?', Surgical Endoscopy and Other Interventional Techniques, vol. 21, no. 5, pp. 805-809. https://doi.org/10.1007/s00464-006-9019-5
Soffer, D. ; Blackbourne, L. H. ; Schulman, Carl I ; Goldman, M. ; Habib, F. ; Benjamin, R. ; Lynn, Mauricio ; Lopez, P. P. ; Cohn, S. M. ; McKenney, M. G. / Is there an optimal time for laparoscopic cholecystectomy in acute cholecystitis?. In: Surgical Endoscopy and Other Interventional Techniques. 2007 ; Vol. 21, No. 5. pp. 805-809.
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AU - Benjamin, R.

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