Article ; Online: Effect of Early Versus Delayed Laparoscopic Cholecystectomy on Postoperative Morbidity and Difficult Cholecystectomy in Patients With Grade II Cholecystitis According to Tokyo 2018 Guidelines: A Prospective Study.
2023 Volume 89, Issue 12, Page(s) 5775–5781
Abstract: Background: The timing of the cholecystectomy in patients with acute cholecystitis is still controversial. In our study, we aimed to investigate the effect of early and delayed cholecystectomy on difficult cholecystectomy, morbidity and mortality in ... ...
Abstract | Background: The timing of the cholecystectomy in patients with acute cholecystitis is still controversial. In our study, we aimed to investigate the effect of early and delayed cholecystectomy on difficult cholecystectomy, morbidity and mortality in patients diagnosed with Grade II acute cholecystitis according to Tokyo 2018 guidelines. Methods: Patients who presented to the emergency department and diagnosed with Grade II acute cholecystitis between December 2019 and June 2021 were included in this study. Cholecystectomy was performed within 7 days and 6 weeks after symptom onset. The effect of early and delayed cholecystectomy was observed. Results: A total of 92 patients were included in the study. The timing of cholecystectomy was not a risk factor for mortality, morbidity and difficult cholecystectomy. The conversion rate was higher in delayed group ( Conclusions: Delayed cholecystectomy does not facilitate cholecystectomy in patients with Grade II acute cholecystitis. Early cholecystectomy can be performed safely and high CRP levels can be used to determine difficult cholecystectomy in early period. |
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MeSH term(s) | Humans ; Cholecystectomy, Laparoscopic ; Prospective Studies ; Tokyo ; Cholecystectomy ; Cholecystitis/surgery ; Cholecystitis, Acute/surgery ; Cholecystitis, Acute/diagnosis |
Language | English |
Publishing date | 2023-05-09 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 202465-2 |
ISSN | 1555-9823 ; 0003-1348 |
ISSN (online) | 1555-9823 |
ISSN | 0003-1348 |
DOI | 10.1177/00031348231175113 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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