Urgent Laparoscopic Cholecystectomy in the Management of Acute Cholecystitis: Timing Does Not Influence Conversion Rate

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2006 Mar 18

PMID 16544075

Citations 11

Authors

Y-C Wang

H-R Yang

P-K Chung

L-B Jeng

R-J Chen

Affiliations

Soon will be listed here.

Abstract

Background: The optimal treatment of acute cholecystitis is urgent laparoscopic cholecystectomy. Most reports suggest that a delay of 72 or 96 h from onset of symptoms leads to a higher conversion rate. This study assessed the conversion rate in relation to the timing of urgent laparoscopic cholecystectomy for acute cholecystitis.

Methods: During a 12 month period, 112 patients received laparoscopic cholecystectomy for acute cholecystitis at a tertiary care university hospital in central Taiwan. Data were collected prospectively.

Results: The overall conversion rate was 3.6% (4/112). Of 62 procedures performed within 72 h from onset of symptoms, 2 were converted, as compared with 2 of 50 procedures after 72 h. Of 76 procedures performed within 96 h from onset of symptoms, 3 were converted, as compared with 1 of 36 procedures after 96 h. There were no mortalities or common bile duct injuries.

Conclusions: The conversion rate for urgent laparoscopic cholecystectomy among patients with acute cholecystitis can be as low as 3.6%. The timing of urgent laparoscopic cholecystectomy has no impact on the conversion rate.

Citing Articles

Laparoscopic cholecystectomy in the treatment of acute cholecystitis: comparison of results between early and late cholecystectomy.

Acar T, Kamer E, Acar N, Atahan K, Bag H, Haciyanli M Pan Afr Med J. 2017; 26:49.

PMID: 28451027 PMC: 5398876. DOI: 10.11604/pamj.2017.26.49.8359.

Early laparoscopic cholecystectomy is superior to delayed acute cholecystitis: a meta-analysis of case-control studies.

Cao A, Eslick G, Cox M Surg Endosc. 2015; 30(3):1172-82.

PMID: 26139487 DOI: 10.1007/s00464-015-4325-4.

Evaluation of affecting factors for conversion to open cholecystectomy in acute cholecystitis.

Oymaci E, Ucar A, Aydogan S, Sari E, Erkan N, Yildirim M Prz Gastroenterol. 2015; 9(6):336-41.

PMID: 25653728 PMC: 4300343. DOI: 10.5114/pg.2014.45491.

Determination of optimal operation time for the management of acute cholecystitis: a clinical trial.

Oymaci E, Ucar A, Yakan S, Carti E, Coskun A, Erkan N Prz Gastroenterol. 2014; 9(3):147-52.

PMID: 25097711 PMC: 4110361. DOI: 10.5114/pg.2014.43576.

Cost utility of early versus delayed laparoscopic cholecystectomy for acute cholecystitis.

Johner A, Raymakers A, Wiseman S Surg Endosc. 2012; 27(1):256-62.

PMID: 22773234 DOI: 10.1007/s00464-012-2430-1.

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