Publications by authors named "Luis Asensio Gomez"
Article Synopsis
- The study investigates the safety of early laparoscopic cholecystectomy (ELC) for patients aged 85 and older with acute calculous cholecystitis (ACC) by comparing outcomes with younger patients from 2013 to 2018.
- Results show that the oldest-old group had a higher 90-day mortality and more complications before adjustments, indicating that they had more severe health issues.
- After using propensity score matching to balance groups, findings suggested that ELC is relatively safe for selected older patients, indicating that age alone shouldn't prevent surgery for ACC.
J Gastrointest Surg
November 2021
Article Synopsis
- Early laparoscopic cholecystectomy (ELC) is the standard treatment for acute calculous cholecystitis (ACC), but it can lead to significant postoperative complications; this study aims to identify risk factors for these complications and create a predictive score.
- A multicentric analysis of 1868 ACC patients revealed that factors such as previous surgeries, diabetes, high bilirubin levels, and gallbladder perforation significantly increased the risk of complications post-surgery.
- The newly developed Chole-Risk Score categorizes patients based on these factors, showing a clear correlation between higher scores and increased complication rates, making it a useful tool for predicting outcomes in ACC surgeries.
Updates Surg
February 2021
Article Synopsis
- - The study investigates the impact of timing for early laparoscopic cholecystectomy (ELC) in patients with acute calculous cholecystitis (ACC) based on when surgery is performed, using a sample of 1,868 cases categorized by timing of surgery and hospital volume.
- - Results indicate that surgeries performed after 7 days (Group 2) had significantly higher rates of conversion to open surgery, intraoperative complications, and post-operative issues compared to surgeries within 7 days (Group 1).
- - Higher volume centers (HVC) demonstrated better outcomes overall compared to low volume centers (LVC), suggesting that ELC for ACC is safer and more effective when performed in experienced facilities, especially
