Early versus delayed laparoscopic cholecystectomy for management of acute calculus cholecystitis : our experience at King Hussein Medical Center
المؤلفون المشاركون
Halasa, Salah A.
al-Fauri, Ashraf F.
al-Hurani, Salih A.
al-Mnaizel, Tariq S.
المصدر
Journal of the Royal Medical Services
العدد
المجلد 19، العدد 2 (30 يونيو/حزيران 2012)، ص ص. 10-15، 6ص.
الناشر
الخدمات الطبية الملكية الأردنية
تاريخ النشر
2012-06-30
دولة النشر
الأردن
عدد الصفحات
6
التخصصات الرئيسية
الموضوعات
الملخص EN
-Objective: To compare early laparoscopic cholecystectomy during index admission with delayed (interval) laparoscopic cholecystectomy in the management of acute cholecystitis at King Hussein Medical Center.
Methods: Over the study period of 48 months (June 2005 to May 2009), a total of 317 patients with clinical and radiographic diagnosis of acute cholecystitis were studied.
One hundred-thirty one patients underwent laparoscopic cholecystectomy during the index admission (group A) while 186 patients (Group B) underwent cholecystectomy at least six weeks after the attack.
Data analyzed included patients’ age, gender, duration of symptoms, white blood cell count, operative time, hospital stay, overall surgical outcomes and postoperative morbidity and mortality.
Results: Both groups were demographically and clinically comparable.
Surgical outcomes were comparable in group A and B with conversion rates of 8.3% and 7.4% (p = 0.6645), and complication rates of 12.25% and 12.6% (p = 0.9352) respectively.
Although delayed surgery shortens operative time significantly (60 versus 100 min, p<0.0001), the overall hospital stay is significantly reduced by early operation (5 versus 14.6 days, p<0.0001).
Conclusion: Although both the early and delayed approaches in management of acute calculus cholecystitis are comparable in terms of complication and conversion rates, the early approach has the advantage of offering patients a definitive treatment while reducing the overall total hospital stay and avoiding the problems of failure of delayed therapy.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Fauri, Ashraf F.& Halasa, Salah A.& al-Hurani, Salih A.& al-Mnaizel, Tariq S.. 2012. Early versus delayed laparoscopic cholecystectomy for management of acute calculus cholecystitis : our experience at King Hussein Medical Center. Journal of the Royal Medical Services،Vol. 19, no. 2, pp.10-15.
https://search.emarefa.net/detail/BIM-308849
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Fauri, Ashraf F.…[et al.]. Early versus delayed laparoscopic cholecystectomy for management of acute calculus cholecystitis : our experience at King Hussein Medical Center. Journal of the Royal Medical Services Vol. 19, no. 2 (Jun. 2012), pp.10-15.
https://search.emarefa.net/detail/BIM-308849
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Fauri, Ashraf F.& Halasa, Salah A.& al-Hurani, Salih A.& al-Mnaizel, Tariq S.. Early versus delayed laparoscopic cholecystectomy for management of acute calculus cholecystitis : our experience at King Hussein Medical Center. Journal of the Royal Medical Services. 2012. Vol. 19, no. 2, pp.10-15.
https://search.emarefa.net/detail/BIM-308849
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 14-15
رقم السجل
BIM-308849
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر