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From mild to gangrenous cholecystitis, laparoscopic cholecystectomy is safe 24 hours a day.
Taveras, L R; Scrushy, M G; Cripps, M W; Kuhlenschmidt, K; Crandall, M; Puri, R; Schroeppel, T J; Schuster, K M; Dumas, R P.
Afiliación
  • Taveras LR; University of Texas Southwestern, Department of General Surgery, USA.
  • Scrushy MG; University of Texas Southwestern, Department of General Surgery, USA. Electronic address: Marinda.Scrushy@phhs.org.
  • Cripps MW; University of Colorado, Department of Surgery, Trauma and Acute Care Surgery, USA.
  • Kuhlenschmidt K; University of Texas Southwestern, Department of General Surgery, USA.
  • Crandall M; University of Florida College of Medicine Jacksonville, Jacksonville, Florida, Department of Surgery, USA.
  • Puri R; University of Florida College of Medicine Jacksonville, Jacksonville, Florida, Department of Surgery, USA.
  • Schroeppel TJ; University of Colorado, Department of Surgery, Trauma and Acute Care Surgery, USA.
  • Schuster KM; Yale School of Medicine New Haven, Connecticut, Department of Surgery, USA.
  • Dumas RP; University of Texas Southwestern, Department of General Surgery, USA.
Am J Surg ; 226(1): 83-86, 2023 07.
Article en En | MEDLINE | ID: mdl-36746709
OBJECTIVES: Laparoscopic cholecystectomy (LC) at night remains controversial. Prior studies have not controlled for disease severity. We analyzed outcomes of LC performed day vs. night while controlling for the Parkland Grading Scale for Cholecystitis (PGS). METHODS: Analysis of the AAST multicenter evaluation of cholecystitis database was performed. Exclusion criteria included non-operative cases, open operations, and missing PGS. Cases were divided based on operation start time. PGS was used to control for disease severity. Outcomes included operative time, use of bailout techniques and complications. RESULTS: Of 759 procedures identified, 16% were nighttime LC. No differences in demographics, comorbidities, physiologic variables and PGS were noted. Operative time (108.6 min vs 105.6), bailout techniques (8.3% vs 7.4%) and complications (9.9% vs 11.3%) were similar between groups. CONCLUSION: Regardless of severity, laparoscopic cholecystectomy is safe 24-h a day. Operations performed at night have a similar complication profile to those performed during the day.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Colecistitis / Colecistectomía Laparoscópica / Colecistitis Aguda Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Am J Surg Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Colecistitis / Colecistectomía Laparoscópica / Colecistitis Aguda Tipo de estudio: Clinical_trials / Observational_studies / Prognostic_studies Aspecto: Patient_preference Límite: Humans Idioma: En Revista: Am J Surg Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos