2012
DOI: 10.1590/s0100-69912012000500017
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Abstract: Recent meta-analyses suggested that early laparoscopic cholecystectomy (within 1 week of symptom onset) for uncomplicated acute gallbladder disease is safe and feasible. However, surveys on surgical practices indicated that early laparoscopic cholecystectomy is performed by only a minority of surgeons. Furthermore, the exact time-point for performing this procedure as well as its cost-effectiveness remain a matter of debate. The TBE - CiTE Journal Club performed a critical appraisal of the most relevant eviden… Show more

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Cited by 11 publications
(10 citation statements)
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“…In another study, an incidence of 115 (3.70%) SSIs was observed when analyzing 3,120 participants in the period from 1999 to 2002. [23][24][25][26][27][28][29] The risk factors related to the development of a SSI in the postoperative period in the hospital setting which stood out in this study were cholecystectomy surgeries, acute cholecystitis diseases and cholelithiasis, and the period of hospitalization until discharge, which are corroborated in the research scientific studies. 8,21,[25][26] However, cholecystectomy and the diagnosis of acute cholecystitis were not significant or differential elements that could certify that the patients who presented these factors suffered more SSIs in the hospital setting than those who did not undergo this surgical intervention, nor were they diagnosed with the disease, 33 these results did not compromise the achievement of the objectives proposed by this research statistically.…”
Section: Discussionsupporting
confidence: 61%
See 1 more Smart Citation
“…In another study, an incidence of 115 (3.70%) SSIs was observed when analyzing 3,120 participants in the period from 1999 to 2002. [23][24][25][26][27][28][29] The risk factors related to the development of a SSI in the postoperative period in the hospital setting which stood out in this study were cholecystectomy surgeries, acute cholecystitis diseases and cholelithiasis, and the period of hospitalization until discharge, which are corroborated in the research scientific studies. 8,21,[25][26] However, cholecystectomy and the diagnosis of acute cholecystitis were not significant or differential elements that could certify that the patients who presented these factors suffered more SSIs in the hospital setting than those who did not undergo this surgical intervention, nor were they diagnosed with the disease, 33 these results did not compromise the achievement of the objectives proposed by this research statistically.…”
Section: Discussionsupporting
confidence: 61%
“…In uncomplicated acute gallbladder disease, current evidence suggests that early laparoscopic cholecystectomy is safe and decreases the length of hospital stay. 24 In a study 27 performed with 428 subjects between 2008 and 2009, the association of cholecystitis with a hospital acquired SSI, 21 cases of SSIs were identified from potentially contaminated surgeries (video laparoscopic cholecystectomy). All participants were diagnosed with cholecystitis.…”
Section: Discussionmentioning
confidence: 99%
“…Evidence in uncomplicated acute gallbladder disease suggests that early laparoscopic cholecystectomy is safe and reduces the period of hospitalization 18 . Mean surgical time for laparotomic and laparoscopic cholecystectomies are generally similar between the elderly and younger, and the hospital stay time is higher in elderly patients undergoing laparotomy 12 .…”
Section: Discussionmentioning
confidence: 99%
“…Náuseas e vômitos são frequentemente observados. O estado geral está na dependência da intensidade do processo inflamatório e principalmente infeccioso (Sankarankutty et al, 2013).…”
Section: Introductionunclassified