Urgent Laparoscopic Cholecystectomy Is the Best Management for Biliary Colic
- 1 May 2005
- journal article
- clinical trial
- Published by S. Karger AG in Digestive Surgery
- Vol. 22 (1-2), 95-99
- https://doi.org/10.1159/000085300
Abstract
Delay of laparoscopic cholecystectomy after the diagnosis of biliary colic may increase the probability of recurrent emergency admission while awaiting elective cholecystectomy. The aim of this study was to compare the possible advantages and safety of urgent laparoscopic cholecystectomy (ULC) with elective laparoscopic cholecystectomy (ELC) in patients with biliary colic. Between 2001 and 2003, 75 patients with biliary colic were included in this study. The patients were classified into following two groups: patients who had ULC in 24 h were in group I (n = 28) and patients who had ELC (mean interval 4.22 +/- 1.42 months) were in group II (n = 35). Conversion to open cholecystectomy, operative time, postoperative hospital stay, costs, and complications were evaluated. In group II, 9 patients made a total of 13 return visits to the emergency department with recurrent attacks of biliary colic or complications of gallstone disease. Mean operative time increased from 35.1 +/- 6.74 min for urgent laparascopic cholecystectomy to 49.9 +/- 6.12 min for ELC (p > 0.05) and hospital stay time increased from 1.06 +/- 0.4 to 2.31 +/- 2.36 days (p < 0.05). Conversion to open cholecystectomy increased from 0% in group I to 17.2% in group II (p < 0.05). ULC for biliary colic may be the most medically efficacious and cost-effective treatment.Keywords
This publication has 13 references indexed in Scilit:
- ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY: IMPLICATIONS OF PROLONGED WAITING TIMES FOR SURGERYAnz Journal of Surgery, 2003
- Management of acute cholecystitis in the laparoscopic era: Results of a prospective, randomized clinical trialJournal of Gastrointestinal Surgery, 2003
- Spontaneous passage of bile duct stones: frequency of occurrence and relation to clinical presentationThe Annals of The Royal College of Surgeons of England, 2003
- Urgent versus interval laparoscopic cholecystectomy for acute cholecystitis: a comparative studyJournal of Hepato-Biliary-Pancreatic Surgery, 2002
- Costs of waiting for gall bladder surgeryPublished by Oxford University Press (OUP) ,2002
- Transitions in laparoscopic cholecystectomySurgical Endoscopy, 2001
- Solving the surgical waiting list problem? New Zealand's ‘booking system’The International Journal of Health Planning and Management, 2000
- The best management for ‘crescendo biliary colic’ is urgent laparoscopic cholecystectomyPublished by Oxford University Press (OUP) ,1998
- The Natural History of Silent GallstonesNew England Journal of Medicine, 1982
- Acute Cholecystitis Treated by Early and Delayed Surgery. A Controlled Clinical TrialScandinavian Journal of Gastroenterology, 1978