AI Article Synopsis
- The study focuses on emergency laparoscopic cholecystectomy (LC) as the standard treatment for conditions like acute cholecystitis and biliary pancreatitis, aiming to identify factors that predict treatment outcomes.
- It analyzed 466 patients over 17 months, determining that around 10% experienced "suboptimal treatment," significantly linked to age and low albumin levels.
- Findings revealed that postoperative complications were associated with age, admission day, and male sex, while longer hospital stays were related to age, low albumin, and delays in surgery, which can help guide patient care decisions.
Article Abstract
Backgrounds/aims: The standard treatment for acute cholecystitis, biliary pancreatitis and intractable biliary colics ("hot gallbladder") is emergency laparoscopic cholecystectomy (LC). This paper aims to identify the prognostic factors and create statistical models to predict the outcomes of emergency LC for "hot gallbladder."
Methods: A prospective observational cohort study was conducted on 466 patients having an emergency LC in 17 months. Primary endpoint was "suboptimal treatment," defined as the use of escape strategies due to the impossibility to complete the LC. Secondary endpoints were postoperative morbidity and length of postoperative stay.
Results: About 10% of patients had a "suboptimal treatment" predicted by age and low albumin. Postop morbidity was 17.2%, predicted by age, admission day, and male sex. Postoperative length of stay was correlated to age, low albumin, and delayed surgery.
Conclusions: Several predictive prognostic factors were found to be related to poor emergency LC outcomes. These can be useful in the decision-making process and to inform patients of risks and benefits of an emergency vs. delayed LC for hot gallbladder.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11128792 | PMC |
| http://dx.doi.org/10.14701/ahbps.23-112 | DOI Listing |
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