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2016 ; 2016
(ä): 4614096
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Evaluation of Early Cholecystectomy versus Delayed Cholecystectomy in the
Treatment of Acute Cholecystitis
#MMPMID27803512
Sánchez-Carrasco M
; Rodríguez-Sanjuán JC
; Martín-Acebes F
; Llorca-Díaz FJ
; Gómez-Fleitas M
; Zambrano Muñoz R
; Sánchez-Manuel FJ
HPB Surg
2016[]; 2016
(ä): 4614096
PMID27803512
show ga
Objective. To evaluate if early cholecystectomy (EC) is the most appropriate
treatment for acute cholecystitis compared to delayed cholecystectomy (DC).
Patients and Methods. A retrospective cohort study of 1043 patients was carried
out, with a group of 531 EC cases and a group of 512 DC patients. The following
parameters were recorded: (1) postoperative hospital morbidity, (2) hospital
mortality, (3) days of hospital stay, (4) readmissions, (5) admission to the
Intensive Care Unit (ICU), (6) type of surgery, (7) operating time, and (8)
reoperations. In addition, we estimated the direct cost savings of implementing
an EC program. Results. The overall morbidity of the EC group (29.9%) was
significantly lower than the DC group (38.7%). EC demonstrated significantly
better results than DC in days of hospital stay (8.9 versus 15.8 days),
readmission percentage (6.8% versus 21.9%), and percentage of ICU admission (2.3%
versus 7.8%), which can result in reducing the direct costs. The patients who
benefited most from an EC were those with a Charlson index > 3. Conclusions. EC
is safe in patients with acute cholecystitis and could lead to a reduction in the
direct costs of treatment.