Journal ArticleDOI
Acute cholecystitis: early versus delayed cholecystectomy, a multicenter randomized trial (ACDC study, NCT00447304).
Carsten N. Gutt,Jens Encke,Jörg Köninger,Julian-Camill Harnoss,Kilian Weigand,Karl Kipfmüller,Oliver Schunter,Thorsten O Götze,Markus Golling,Markus Menges,Ernst Klar,Katharina Feilhauer,Wolfram G. Zoller,Karsten Ridwelski,Sven Ackmann,Alexandra Baron,Michael R. Schön,Helmut K. Seitz,Dietmar Daniel,Wolfgang Stremmel,Markus W. Büchler +20 more
TLDR
In this large, randomized trial, laparoscopic cholecystectomy within 24 hours of hospital admission was shown to be superior to the conservative approach concerning morbidity and costs, and it is believed that immediate lapar surgical surgery should become therapy of choice for acute choleCystitis in operable patients.Abstract:
Objective:Acute cholecystitis is a common disease, and laparoscopic surgery is the standard of care.Background:Optimal timing of surgery for acute cholecystitis remains controversial: either early surgery shortly after hospital admission or delayed elective surgery after a conservative treatment witread more
Citations
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Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis.
Kohji Okamoto,Kenji Suzuki,Tadahiro Takada,Steven M. Strasberg,Horacio J. Asbun,Itaru Endo,Yukio Iwashita,Taizo Hibi,Henry A. Pitt,Akiko Umezawa,Koji Asai,Ho-Seong Han,Tsann Long Hwang,Yasuhisa Mori,Yoo Seok Yoon,Wayne Shih Wei Huang,Giulio Belli,Christos Dervenis,Masamichi Yokoe,Seiki Kiriyama,Takao Itoi,Palepu Jagannath,O. James Garden,Fumihiko Miura,Masafumi Nakamura,Akihiko Horiguchi,Go Wakabayashi,Daniel Cherqui,Eduardo de Santibañes,Satoru Shikata,Yoshinori Noguchi,Tomohiko Ukai,Ryota Higuchi,Keita Wada,Goro Honda,Avinash Supe,Masahiro Yoshida,Toshihiko Mayumi,Dirk J. Gouma,Daniel J. Deziel,Kui Hin Liau,Miin Fu Chen,Kazunori Shibao,Keng Hao Liu,Cheng Hsi Su,Angus C.W. Chan,Dong Sup Yoon,In Seok Choi,Eduard Jonas,Xiao Ping Chen,Sheung Tat Fan,Chen Guo Ker,Mariano E Giménez,Seigo Kitano,Masafumi Inomata,Koichi Hirata,Kazuo Inui,Yoshinobu Sumiyama,Masakazu Yamamoto +58 more
TL;DR: In the Tokyo Guidelines 2018 (TG18) as discussed by the authors, the authors proposed a flowchart for the treatment of acute cholecystitis (AC) in advanced centers with specialized surgeons experienced in this procedure.
Journal ArticleDOI
EASL Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones
Frank Lammert,M. Acalovschi,Giorgio Ercolani,K.J. van Erpecum,Kurinchi Selvan Gurusamy,C.J.H.M. van Laarhoven,Piero Portincasa +6 more
TL;DR: The EASL Clinical Practice Guidelines (CPG) on the prevention, diagnosis and therapy of gallstones aim to provide current recommendations on the following issues.
Journal ArticleDOI
2016 WSES guidelines on acute calculous cholecystitis
Luca Ansaloni,M. Pisano,Federico Coccolini,A. B. Peitzmann,Abe Fingerhut,Fausto Catena,Ferdinando Agresta,Andrea Allegri,I. Bailey,Zsolt J. Balogh,Cino Bendinelli,Walter L. Biffl,Luigi Bonavina,Giuseppe Borzellino,Francesco Brunetti,Clay Cothren Burlew,G. Camapanelli,Fabio Cesare Campanile,Marco Ceresoli,Osvaldo Chiara,Ian Civil,Raul Coimbra,M. De Moya,S. Di Saverio,Gustavo Pereira Fraga,Sanjay Gupta,Jeffry L. Kashuk,M. D. Kelly,V. Koka,H. Jeekel,Rifat Latifi,Ari Leppäniemi,R. V. Maier,Ingo Marzi,F. A. Moore,Dario Piazzalunga,Boris Sakakushev,Massimo Sartelli,Thomas M. Scalea,Philip F. Stahel,Korhan Taviloğlu,Gregorio Tugnoli,S. Uraneus,George C. Velmahos,Imitiaz Wani,Dieter G. Weber,Pierluigi Viale,Michael Sugrue,Rao R. Ivatury,Yoram Kluger,Kurinchi Selvan Gurusamy,Ernest E. Moore +51 more
TL;DR: The algorithm is proposed: as soon as diagnosis is made and after the evaluation of choledocholitiasis risk, laparoscopic cholecystectomy should be offered to all patients exception of those with high risk of morbidity or mortality.
Journal ArticleDOI
2020 World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis
Michele Pisano,Niccolò Allievi,Kurinchi Selvan Gurusamy,Giuseppe Borzellino,Stefania Cimbanassi,Djamila Boerna,Federico Coccolini,Andrea Tufo,Marcello Di Martino,Jeffrey Leung,Massimo Sartelli,Marco Ceresoli,Ronald V. Maier,Elia Poiasina,Nicola De Angelis,Stefano Magnone,Paola Fugazzola,Ciro Paolillo,Raul Coimbra,Salomone Di Saverio,Belinda De Simone,Dieter G. Weber,Boris Sakakushev,Alessandro Lucianetti,Andrew W. Kirkpatrick,Gustavo Pereira Fraga,Imitaz Wani,Walter L. Biffl,Osvaldo Chiara,Fikri M. Abu-Zidan,Ernest E. Moore,Ari Leppäniemi,Yoram Kluger,Fausto Catena,Luca Ansaloni +34 more
TL;DR: Early laparoscopic cholecystectomy (ELC) should be the standard of care whenever possible, even in subgroups of patients who are considered fragile, such as the elderly; those with cardiac disease, renal disease and cirrhosis; or those who are generally at high risk for surgery.
Journal ArticleDOI
Meta-analysis comparing early versus delayed laparoscopic cholecystectomy for acute cholecystitis
TL;DR: A meta‐analysis was undertaken to compare the cost‐effectiveness, quality of life, safety and effectiveness of ELC versus DLC.
References
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Journal ArticleDOI
A nationwide study of conversion from laparoscopic to open cholecystectomy.
TL;DR: Three quarters of all cholecystectomies are performed laparoscopic, and the national conversion rate is 5% to 10%.
Journal ArticleDOI
Meta‐analysis of randomized controlled trials on the safety and effectiveness of early versus delayed laparoscopic cholecystectomy for acute cholecystitis
Kurinchi Selvan Gurusamy,Kumarakrishnan Samraj,Christian Gluud,Edward C. F. Wilson,Brian R. Davidson +4 more
TL;DR: In many countries laparoscopic cholecystectomy for acute choleCystitis is mainly performed after the acute episode has settled because of the anticipated increased risk of morbidity and higher conversion rate from Laparoscopic to open chole cystectomy.
Journal ArticleDOI
Management of acute cholecystitis in the laparoscopic era: results of a prospective, randomized clinical trial.
TL;DR: Despite a high conversion rate, early laparoscopic cholecystectomy offered significant advantages in the management of acute choleCystitis compared to a conservative strategy, and the greatest advantage was a reduced total hospital stay.
Journal ArticleDOI
Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: a prospective randomized trial
Surendra B. Kolla,Sandeep Aggarwal,Ajay Kumar,R. Kumar,Sunil Chumber,Rajinder Parshad,Vuthaluru Seenu +6 more
TL;DR: Early laparoscopic cholecystectomy for acute choleCystitis is safe and feasible, offering the additional benefit of a shorter hospital stay, and should be offered to patients with acute choelcystitis.
Journal ArticleDOI
Early versus delayed-interval laparoscopic cholecystectomy for acute cholecystitis: a metaanalysis.
TL;DR: Evidence suggested that early laparoscopic cholecystectomy reduced the total length of hospital stay and the risk of readmissions attributable to recurrent acute choleCystitis, it is therefore a more cost-effective approach for the management of acute choelcystitis.
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