Optimal timing for laparoscopic cholecystectomy in the treatment of gallbladder calculi incarceration

Objective Laparoscopic cholecystectomy (LC) has become a popular method in the treatment of gallbladder calculi incarceration (GCI). This study aimed to investigate the effect of early and delayed LC on patients with GCI to determine the optimal timing for LC. Methods The clinical data of 639 patien...

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Autores principales:	Jian-Heng Bao, Yu-Jie Wang, Hai-Tao Shang, Cheng-Fei Hao, Jun-Jian Liu, De-Lin Zhang, Shu-Wang Han, Zhong-Lian Li
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/8ffd01ad63de460e880f6dd547b00622
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spelling	oai:doaj.org-article:8ffd01ad63de460e880f6dd547b006222021-12-01T02:03:10ZOptimal timing for laparoscopic cholecystectomy in the treatment of gallbladder calculi incarceration2058-739210.1177/20587392211051945https://doaj.org/article/8ffd01ad63de460e880f6dd547b006222021-10-01T00:00:00Zhttps://doi.org/10.1177/20587392211051945https://doaj.org/toc/2058-7392Objective Laparoscopic cholecystectomy (LC) has become a popular method in the treatment of gallbladder calculi incarceration (GCI). This study aimed to investigate the effect of early and delayed LC on patients with GCI to determine the optimal timing for LC. Methods The clinical data of 639 patients with GCI who had received LC were analyzed retrospectively. According to the duration of symptoms before admission and that from admission to LC, the patients were divided into different groups. The relationship between conversion and postoperative complications was compared among the different groups. Results Seventy-two patients (11.27%) underwent conversion to laparotomy, and 65 patients (10.17%) had postoperative complications. Patients in the LC > 15 d group were older ( p < 0.001), had a longer operation time ( p < 0.001), had a longer duration of hospitalization ( p < 0.001), had a higher proportion of conversion ( p < 0.001), and had a higher incidence of postoperative complications ( p < 0.001). Type 2 diabetes mellitus (T2DM) (RR = 1.701; 95% CI: 1.410–2.047; p < 0.001) and duration from admission to LC (RR = 7.072; 95% CI: 3.044–16.431; p < 0.001) were independent risk factors for conversion. Older age, T2DM, CRP, duration of symptoms before admission >3 m , and duration from admission to LC > 15 d were independent predictors of postoperative complications. Conclusion For patients younger than 65 years without contraindications, early operation should be performed within 3 d after admission to reduce the operation time, hospitalization time, conversion, and postoperative complications.Jian-Heng BaoYu-Jie WangHai-Tao ShangCheng-Fei HaoJun-Jian LiuDe-Lin ZhangShu-Wang HanZhong-Lian LiSAGE PublishingarticleMedicineRENEuropean Journal of Inflammation, Vol 19 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Jian-Heng Bao Yu-Jie Wang Hai-Tao Shang Cheng-Fei Hao Jun-Jian Liu De-Lin Zhang Shu-Wang Han Zhong-Lian Li Optimal timing for laparoscopic cholecystectomy in the treatment of gallbladder calculi incarceration
description	Objective Laparoscopic cholecystectomy (LC) has become a popular method in the treatment of gallbladder calculi incarceration (GCI). This study aimed to investigate the effect of early and delayed LC on patients with GCI to determine the optimal timing for LC. Methods The clinical data of 639 patients with GCI who had received LC were analyzed retrospectively. According to the duration of symptoms before admission and that from admission to LC, the patients were divided into different groups. The relationship between conversion and postoperative complications was compared among the different groups. Results Seventy-two patients (11.27%) underwent conversion to laparotomy, and 65 patients (10.17%) had postoperative complications. Patients in the LC > 15 d group were older ( p < 0.001), had a longer operation time ( p < 0.001), had a longer duration of hospitalization ( p < 0.001), had a higher proportion of conversion ( p < 0.001), and had a higher incidence of postoperative complications ( p < 0.001). Type 2 diabetes mellitus (T2DM) (RR = 1.701; 95% CI: 1.410–2.047; p < 0.001) and duration from admission to LC (RR = 7.072; 95% CI: 3.044–16.431; p < 0.001) were independent risk factors for conversion. Older age, T2DM, CRP, duration of symptoms before admission >3 m , and duration from admission to LC > 15 d were independent predictors of postoperative complications. Conclusion For patients younger than 65 years without contraindications, early operation should be performed within 3 d after admission to reduce the operation time, hospitalization time, conversion, and postoperative complications.
format	article
author	Jian-Heng Bao Yu-Jie Wang Hai-Tao Shang Cheng-Fei Hao Jun-Jian Liu De-Lin Zhang Shu-Wang Han Zhong-Lian Li
author_facet	Jian-Heng Bao Yu-Jie Wang Hai-Tao Shang Cheng-Fei Hao Jun-Jian Liu De-Lin Zhang Shu-Wang Han Zhong-Lian Li
author_sort	Jian-Heng Bao
title	Optimal timing for laparoscopic cholecystectomy in the treatment of gallbladder calculi incarceration
title_short	Optimal timing for laparoscopic cholecystectomy in the treatment of gallbladder calculi incarceration
title_full	Optimal timing for laparoscopic cholecystectomy in the treatment of gallbladder calculi incarceration
title_fullStr	Optimal timing for laparoscopic cholecystectomy in the treatment of gallbladder calculi incarceration
title_full_unstemmed	Optimal timing for laparoscopic cholecystectomy in the treatment of gallbladder calculi incarceration
title_sort	optimal timing for laparoscopic cholecystectomy in the treatment of gallbladder calculi incarceration
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/8ffd01ad63de460e880f6dd547b00622
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Optimal timing for laparoscopic cholecystectomy in the treatment of gallbladder calculi incarceration

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