Acute cholecystitis surgery: Difference between revisions
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***Increased postoperative complications | ***Increased postoperative complications | ||
===Lapascopic cholecystectomy=== | ===Lapascopic cholecystectomy=== | ||
There are two main types of procedures used for the laparoscopic cholecystectomy; Single-incision laparoscopic cholecystectomy (SILC) and conventional multiport laparoscopic cholecystectomy (CMLC). | There are two main types of procedures used for the laparoscopic cholecystectomy; Single-incision laparoscopic cholecystectomy (SILC) and conventional multiport laparoscopic cholecystectomy (CMLC).<ref name="pmid23557447">{{cite journal |vauthors=Sato N, Yabuki K, Shibao K, Mori Y, Tamura T, Higure A, Yamaguchi K |title=Risk factors for a prolonged operative time in a single-incision laparoscopic cholecystectomy |journal=HPB (Oxford) |volume=16 |issue=2 |pages=177–82 |year=2014 |pmid=23557447 |pmc=3921014 |doi=10.1111/hpb.12100 |url=}}</ref><ref name="pmid20607556">{{cite journal |vauthors=Antoniou SA, Pointner R, Granderath FA |title=Single-incision laparoscopic cholecystectomy: a systematic review |journal=Surg Endosc |volume=25 |issue=2 |pages=367–77 |year=2011 |pmid=20607556 |doi=10.1007/s00464-010-1217-5 |url=}}</ref><ref name="pmid22819642">{{cite journal |vauthors=Leung D, Yetasook AK, Carbray J, Butt Z, Hoeger Y, Denham W, Barrera E, Ujiki MB |title=Single-incision surgery has higher cost with equivalent pain and quality-of-life scores compared with multiple-incision laparoscopic cholecystectomy: a prospective randomized blinded comparison |journal=J. Am. Coll. Surg. |volume=215 |issue=5 |pages=702–8 |year=2012 |pmid=22819642 |doi=10.1016/j.jamcollsurg.2012.05.038 |url=}}</ref><ref name="pmid22767084">{{cite journal |vauthors=Pisanu A, Reccia I, Porceddu G, Uccheddu A |title=Meta-analysis of prospective randomized studies comparing single-incision laparoscopic cholecystectomy (SILC) and conventional multiport laparoscopic cholecystectomy (CMLC) |journal=J. Gastrointest. Surg. |volume=16 |issue=9 |pages=1790–801 |year=2012 |pmid=22767084 |doi=10.1007/s11605-012-1956-9 |url=}}</ref> | ||
*Single-incision laparoscopic cholecystectomy (SILC) | *Single-incision laparoscopic cholecystectomy (SILC) | ||
**As compared to CMLC, SILC has the following features: | **As compared to CMLC, SILC has the following features: | ||
Revision as of 18:13, 12 December 2017
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Acute cholecystitis surgery On the Web |
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Risk calculators and risk factors for Acute cholecystitis surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Furqan M M. M.B.B.S[2]
Overview
Surgical intervention is not recommended for the management of [disease name].
OR
Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
OR
The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
OR
The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
Surgery is the mainstay of treatment for [disease or malignancy].
Indications
- Surgical intervention is not recommended for the management of [disease name].
OR
- Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either:
- [Indication 1]
- [Indication 2]
- [Indication 3]
- The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either:
- [Indication 1]
- [Indication 2]
- [Indication 3]
Surgery
- Surgery is the mainstay of treatment for acute cholecystitis.[1][2]
- Laparoscopic cholecystectomy is considered the gold standard procedure for the treatment of acute cholecystitis.
- Early cholecystectomy (EC) is usually preferred over delayed cholecystectomy (DC).[3][4][5][6][7]
- Patients undergoing EC have following advantages over DC:
- Shorter hospital stays
- Lower costs
- No risk of emergency cholecystectomy
- EC has the following limitations:[7]
- Increased intraoperative complications
- Increased postoperative complications
- Patients undergoing EC have following advantages over DC:
Lapascopic cholecystectomy
There are two main types of procedures used for the laparoscopic cholecystectomy; Single-incision laparoscopic cholecystectomy (SILC) and conventional multiport laparoscopic cholecystectomy (CMLC).[8][9][10][11]
- Single-incision laparoscopic cholecystectomy (SILC)
- As compared to CMLC, SILC has the following features:
- Improved cosmetic results
- Decreased postoperative pain
- Increased operative time
- Increased intraoperative blood loss
- As compared to CMLC, SILC has the following features:
- Conventional multiport laparoscopic cholecystectomy (CMLC)
- As compared to SILC, CMLC has the following features:
- Decreased operative time
- Decreased intraoperative blood loss
- As compared to SILC, CMLC has the following features:
References
- ↑ Knab LM, Boller AM, Mahvi DM (2014). "Cholecystitis". Surg. Clin. North Am. 94 (2): 455–70. doi:10.1016/j.suc.2014.01.005. PMID 24679431.
- ↑ Soper NJ, Stockmann PT, Dunnegan DL, Ashley SW (1992). "Laparoscopic cholecystectomy. The new 'gold standard'?". Arch Surg. 127 (8): 917–21, discussion 921–3. PMID 1386505.
- ↑ Lo CM, Liu CL, Fan ST, Lai EC, Wong J (1998). "Prospective randomized study of early versus delayed laparoscopic cholecystectomy for acute cholecystitis". Ann. Surg. 227 (4): 461–7. PMC 1191296. PMID 9563529.
- ↑ Johansson M, Thune A, Blomqvist A, Nelvin L, Lundell L (2003). "Management of acute cholecystitis in the laparoscopic era: results of a prospective, randomized clinical trial". J. Gastrointest. Surg. 7 (5): 642–5. PMID 12850677.
- ↑ Lai PB, Kwong KH, Leung KL, Kwok SP, Chan AC, Chung SC, Lau WY (1998). "Randomized trial of early versus delayed laparoscopic cholecystectomy for acute cholecystitis". Br J Surg. 85 (6): 764–7. doi:10.1046/j.1365-2168.1998.00708.x. PMID 9667702.
- ↑ Kolla SB, Aggarwal S, Kumar A, Kumar R, Chumber S, Parshad R, Seenu V (2004). "Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: a prospective randomized trial". Surg Endosc. 18 (9): 1323–7. doi:10.1007/s00464-003-9230-6. PMID 15803229.
- ↑ 7.0 7.1 Ozkardeş AB, Tokaç M, Dumlu EG, Bozkurt B, Ciftçi AB, Yetişir F, Kılıç M (2014). "Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: a prospective, randomized study". Int Surg. 99 (1): 56–61. doi:10.9738/INTSURG-D-13-00068.1. PMC 3897343. PMID 24444271.
- ↑ Sato N, Yabuki K, Shibao K, Mori Y, Tamura T, Higure A, Yamaguchi K (2014). "Risk factors for a prolonged operative time in a single-incision laparoscopic cholecystectomy". HPB (Oxford). 16 (2): 177–82. doi:10.1111/hpb.12100. PMC 3921014. PMID 23557447.
- ↑ Antoniou SA, Pointner R, Granderath FA (2011). "Single-incision laparoscopic cholecystectomy: a systematic review". Surg Endosc. 25 (2): 367–77. doi:10.1007/s00464-010-1217-5. PMID 20607556.
- ↑ Leung D, Yetasook AK, Carbray J, Butt Z, Hoeger Y, Denham W, Barrera E, Ujiki MB (2012). "Single-incision surgery has higher cost with equivalent pain and quality-of-life scores compared with multiple-incision laparoscopic cholecystectomy: a prospective randomized blinded comparison". J. Am. Coll. Surg. 215 (5): 702–8. doi:10.1016/j.jamcollsurg.2012.05.038. PMID 22819642.
- ↑ Pisanu A, Reccia I, Porceddu G, Uccheddu A (2012). "Meta-analysis of prospective randomized studies comparing single-incision laparoscopic cholecystectomy (SILC) and conventional multiport laparoscopic cholecystectomy (CMLC)". J. Gastrointest. Surg. 16 (9): 1790–801. doi:10.1007/s11605-012-1956-9. PMID 22767084.