Consequences of delay in surgical treatment of biliary disease

Rutledge, David R.; Jones, Daniel Fiske; Rege, Robert V.

doi:10.1016/s0002-9610(00)00520-1

Cited by 84 publications

(59 citation statements)

References 13 publications

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“…Patients in whom severe biliary complications develop after presenting with uncomplicated biliary colic are much more likely to have acute cholecystitis as a complication than acute biliary pancreatitis or cholangitis. 20 Therefore, it is plausible that a higher rate of cholecystectomy among people with biliary colic would result in a lower incidence of acute cholecystitis. Without cholecystectomy, nearly 50% of patients with biliary colic experience escalation of their symptoms, and 8% experience severe acute cholecystitis.…”

Section: Discussionmentioning

confidence: 99%

Rate of elective cholecystectomy and the incidence of severe gallstone disease

Urbach¹

2005

Canadian Medical Association Journal

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Background: The use of elective cholecystectomy has increased dramatically following the widespread adoption of laparoscopic cholecystectomy. We sought to determine whether this increase has resulted in a reduction in the incidence of severe complications of gallstone disease. (RR 0.82,. Interpretation: The increase in the rate of elective cholecystectomy that occurred following the introduction of laparoscopic cholecystectomy in 1991 was associated with an overall reduction in the incidence of severe gallstone disease that was entirely attributable to a reduction in the incidence of acute cholecystitis.

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Section: Discussionmentioning

confidence: 99%

Rate of elective cholecystectomy and the incidence of severe gallstone disease

Urbach¹

2005

Canadian Medical Association Journal

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“…As expected, patients in the CONV group were older and more frequently male, which are reported risk factors for conversion. [15][16][17][18][19][22][23][24][25][26][27][28][29][30][31][32][33] The CONV group also had greater preoperative ASA scores and some comorbidities, such as hypertension (Table II). We corrected for these differences by using a multivariate analysis.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Cholecystectomy: What is the Price of Conversion?

Lengyel

Ashley

Panizales

et al. 2011

Journal of Surgical Research

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Background-Laparoscopic cholecystectomy (LC) is the gold standard procedure for gallbladder removal. Conversion to an open procedure is sometimes deemed necessary, especially in complex cases in which a prolonged laparoscopic operative time is anticipated. A prolonged LC case is thought to be associated with increased complications and cost and therefore generally discouraged. The purpose of this study was to test this assumption, and compare outcomes and cost of converted and prolonged LC cases.

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“…Once the patients are symptomatic the chance of recurrent symptoms and complications increases 8 . About 20% to 40% of patients have recurrent biliary symptoms after initial biliary colic 3 . About 14% of patients develop acute cholecystitis, 5% develop biliary pancreatitis and 5% develop common bile duct stones 5,9,10 .…”

Section: Discussionmentioning

confidence: 99%

“…The postoperative outcome varies according to the presentation. Literature suggests that symptomatic uncomplicated patients have a lower incidence of complications, better perioperative outcome and lower cost of treatment when compared to complicated patients [1][2][3][4][5] .…”

mentioning

confidence: 99%

Comparison of perioperative outcomes in patients with uncomplicated and complicated cholelithiasis

Bohara

Regmee

Laudari

et al. 2018

J. Kathmandu Med. Coll.

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Background: Cholelithiasis is a common disease managed by surgeons. The patient may present with asymptomatic incidentally detected cholelithiasis, uncomplicated symptomatic cholelithiasis or complicated symptomatic cholelithiasis. The perioperative outcome varies in patients with symptomatic uncomplicated and complicated disease. Objectives: To compare the perioperative outcomes between patients with uncomplicated and complicated cholelithiasis. Methodology: A prospective analytical study was conducted among all the patients undergoing elective laparoscopic cholecystectomy during the study period. The patients were categorized into two groups, uncomplicated and complicated. The comparison was done among these groups in terms of length of hospital stay, operative duration, and post-operative complications. Results: Total of 107 patients 22(20.56%) males and 85(79.43%) females were included in the study. 83(77.57%) were uncomplicated and 24(22.42%) were complicated cases. The average length of the hospital was 2.33 vs 6 days (p-value <0.01), mean operative duration 42.23 vs 70.17 minutes (p-value <0.00) and postoperative complication were 0 vs 6 in uncomplicated and complicated group respectively. Conclusion: Patients operated for uncomplicated cholelithiasis had a better perioperative outcome in terms of operative duration, post-operative hospital stay and complications rate as compared to patients operated for complicated cholelithiasis.

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Consequences of delay in surgical treatment of biliary disease

Cited by 84 publications

References 13 publications

Rate of elective cholecystectomy and the incidence of severe gallstone disease

Rate of elective cholecystectomy and the incidence of severe gallstone disease

Laparoscopic Cholecystectomy: What is the Price of Conversion?

Comparison of perioperative outcomes in patients with uncomplicated and complicated cholelithiasis

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