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Early laparoscopic cholecystectomy appears better than delayed laparoscopic cholecystectomy for patients with acute cholecystitis

Gurusamy, K; (2016) Early laparoscopic cholecystectomy appears better than delayed laparoscopic cholecystectomy for patients with acute cholecystitis. Evidence Based-Medicine , 21 (1) p. 28. 10.1136/ebmed-2015-110332.

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Abstract

Commentary on: Wu XD, Tian X, Liu MM, et al. Meta-analysis comparing early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Br J Surg 2015;102:1302–13. Context Acute cholecystitis, also known as inflammation of the gallbladder, can be broadly classified as either acute calculous cholecystitis (caused by gallstones) 1 or acute acalculous cholecystitis (following serious illness such as systemic sepsis or major surgery).2 Cholecystectomy is mainly indicated in acute calculous cholecystitis,1 while percutaneous cholecystostomy is used as the definitive treatment in the absence of gallstones for patients with acalculous cholecystitis.2 The timing of cholecystectomy (which is usually performed laparoscopically)1 is a matter of significant controversy in patients with acute calculous cholecystitis. While delayed laparoscopic cholecystectomy (DLC) increases the risk of further gallstone-related complications during the waiting period, early laparoscopic cholecystectomy (ELC) is a more complex surgery and there were concerns about the safety of ELC during the early days of laparoscopic cholecystectomy.3 4

Type: Article
Title: Early laparoscopic cholecystectomy appears better than delayed laparoscopic cholecystectomy for patients with acute cholecystitis
Location: England
DOI: 10.1136/ebmed-2015-110332
Publisher version: http://dx.doi.org/10.1136/ebmed-2015-110332
Language: English
Additional information: Copyright © 2016 the BMJ Publishing Group Ltd. All rights reserved. This article has been accepted for publication in Evidence Based-Medicine following peer review. The definitive copyedited, typeset version Gurusamy, K; (2016) Early laparoscopic cholecystectomy appears better than delayed laparoscopic cholecystectomy for patients with acute cholecystitis, is available online at: http://dx.doi.org/10.1136/ebmed-2015-110332
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Surgical Biotechnology
URI: https://discovery.ucl.ac.uk/id/eprint/1476967
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