دورية أكاديمية
Laparoscopic cholecystectomy in the treatment of acute cholecystitis: comparison of results between early and late cholecystectomy
| العنوان: | Laparoscopic cholecystectomy in the treatment of acute cholecystitis: comparison of results between early and late cholecystectomy |
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| المؤلفون: | Turan Acar, Erdine Kamer, Nihan Acar, Kemal Atahan, Halis Bağ, Mehmet Hacıyanlı, ézgén Akgél |
| المصدر: | The Pan African Medical Journal, Vol 26, Iss 49 (2017) |
| بيانات النشر: | The Pan African Medical Journal, 2017. |
| سنة النشر: | 2017 |
| المجموعة: | LCC:Medicine |
| مصطلحات موضوعية: | laparoscopic cholecystectomy, acute cholecystitis, early, late, morbidite, Medicine |
| الوصف: | INTRODUCTION: laparoscopic cholecystectomy has become the gold standard in the treatment of symptomatic gallstones. The common opinion about treatment of acute cholecystitis is initially conservative treatment due to preventing complications of inflamation and following laparoscopic cholecystectomy after 6- 8 weeks. However with the increase of laparoscopic experience in recent years, early laparoscopic cholecystectomy has become more common. METHODS: we aimed to compare the outcomes of the patients to whom we applied early or late cholecystectomy after hospitalization from the emergency department with the diagnosis of AC between March 2012-2015. RESULTS: we retrospectively reviewed the files of totally 66 patients in whom we performed early cholecystectomy (within the first 24 hours) (n: 33) and to whom we firstly administered conservative therapy and performed late cholecystectomy (after 6 to 8 weeks) (n: 33) after hospitalization from the emergency department with the diagnosis of acute cholecystitis. The groups were made up of patients who had similar clinical and demographic characteristics. While there were no statistically significant differences between the durations of operation, the durations of hospitalization were longer in those who underwent early cholecystectomy. Moreover, more complications were seen in the patients who underwent early cholecystectomy although the difference was not statistically significant. CONCLUSION: early cholecystectomy is known to significantly reduce the costs in patients with acute cholecystitis. However, switching to open surgery as well as increase of complications in patients who admitted with severe inflammation attack and who have high comorbidity, caution should be exercised when selecting patients for early operation. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English French |
| تدمد: | 1937-8688 |
| Relation: | https://www.panafrican-med-journal.com/content/article/26/49/pdf/49.pdf; https://doaj.org/toc/1937-8688 |
| DOI: | 10.11604/pamj.2017.26.49.8359 |
| URL الوصول: | https://doaj.org/article/5b411565d1204fd1abb1fc1f788b2cba |
| رقم الأكسشن: | edsdoj.5b411565d1204fd1abb1fc1f788b2cba |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 19378688 |
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| DOI: | 10.11604/pamj.2017.26.49.8359 |