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An ‘early interval’ (Delayed Urgent) laparoscopic cholecystectomy for acute cholecystitis : evidence to support a safe surgical procedure
المؤلف
المصدر
Journal of the Faculty of Medicine Baghdad
العدد
المجلد 53، العدد 2 (30 يونيو/حزيران 2011)، ص ص. 142-146، 5ص.
الناشر
تاريخ النشر
2011-06-30
دولة النشر
العراق
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Background: Delayed interval cholecystectomy can be performed to overcome the logistical difficulties in performing ‘early urgent’ laparoscopic cholecystectomy (LC) within 72 hours of admission with acute cholecystitis (AC), and to avoid earlier re-admission with recurrent AC in patients waiting ‘delayed interval’ cholecystectomy.
Objectives: To evaluate the safety and feasibility of ‘delayed urgent’ LC performed beyond 72 hours.
Methods: Patients admitted with AC were scheduled for urgent LC.
Patients who underwent ‘early urgent’ LC were compared with those who had ‘delayed urgent’ surgery.
Results: Fifty consecutive patients underwent urgent LC for AC within 2 weeks of admission.
There were no conversions and no bile duct injuries.
Delayed surgery (n = 36) neither prolonged operating time (90 vs.
85 minutes) nor increased operative morbidity (9.7% vs.
7.7%) or mortality (2.4% vs.
7.7 %) compared with early surgery (n = 14).
Although delayed surgery was associated with shorter postoperative hospital stay (1 vs.
2 days, p= 0.029), it prolonged total hospital stay (9 vs.
5 days, p < 0.0001).
Conclusions: Delay of LC beyond 72 hours neither increases operative difficulty nor prolongs recovery.
It might be more cost effective to schedule patients who could not undergo ‘early urgent’ LC but are responding to conservative treatment for an ‘early interval’ LC within 2 weeks of presentation with AC.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Sakran, Imad F.. 2011. An ‘early interval’ (Delayed Urgent) laparoscopic cholecystectomy for acute cholecystitis : evidence to support a safe surgical procedure. Journal of the Faculty of Medicine Baghdad،Vol. 53, no. 2, pp.142-146.
https://search.emarefa.net/detail/BIM-334998
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Sakran, Imad F.. An ‘early interval’ (Delayed Urgent) laparoscopic cholecystectomy for acute cholecystitis : evidence to support a safe surgical procedure. Journal of the Faculty of Medicine Baghdad Vol. 53, no. 2 (2011), pp.142-146.
https://search.emarefa.net/detail/BIM-334998
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Sakran, Imad F.. An ‘early interval’ (Delayed Urgent) laparoscopic cholecystectomy for acute cholecystitis : evidence to support a safe surgical procedure. Journal of the Faculty of Medicine Baghdad. 2011. Vol. 53, no. 2, pp.142-146.
https://search.emarefa.net/detail/BIM-334998
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 145-146
رقم السجل
BIM-334998
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
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