Please use this identifier to cite or link to this item: https://doi.org/10.1007/s11605-017-3378-1
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dc.titleDelayed Presentation of Acute Cholecystitis: Comparative Outcomes of Same-Admission Versus Delayed Laparoscopic Cholecystectomy
dc.contributor.authorTan J.K.H.
dc.contributor.authorGoh J.C.I.
dc.contributor.authorLim J.W.L.
dc.contributor.authorShridhar I.G.
dc.contributor.authorMadhavan K.
dc.contributor.authorKow A.W.C.
dc.date.accessioned2018-08-29T08:59:36Z
dc.date.available2018-08-29T08:59:36Z
dc.date.issued2017-05-01
dc.identifier.citationTan J.K.H., Goh J.C.I., Lim J.W.L., Shridhar I.G., Madhavan K., Kow A.W.C. (2017-05-01). Delayed Presentation of Acute Cholecystitis: Comparative Outcomes of Same-Admission Versus Delayed Laparoscopic Cholecystectomy. Journal of Gastrointestinal Surgery 21 (5) : 840-845. ScholarBank@NUS Repository. https://doi.org/10.1007/s11605-017-3378-1
dc.identifier.issn1091255X
dc.identifier.urihttp://scholarbank.nus.edu.sg/handle/10635/146735
dc.description.abstractIntroduction: Studies have shown that same-admission laparoscopic cholecystectomy (SALC) is superior to delayed laparoscopic cholecystectomy (DLC) for acute cholecystitis (AC). However, no studies have compared both modalities in patients with delayed presentation. The aim of the study was to compare outcomes between SALC and DLC in AC patients with more than 7-day symptom duration. Methods: A retrospective analysis of 83 AC patients who underwent LC after presenting with >7�days of symptoms from June 2010 to June 2015 was performed. Patients were divided into L-SALC and L-DLC, defined as LC performed within the same admission and between 4 and 24�weeks after discharge, respectively. Peri-operative outcomes were evaluated. Results: In L-SALC patients, the intra-operative severity was higher (p < 0.001) and median operative time was longer (L-SALC, 107�min (46�220) vs L-DLC, 95�mins (25�186)) (p = 0.048). Conversion rates were also higher in L-SALC than that in L-DLC (L-SALC, 21.4% vs L-DLC, 4.9%) (p = 0.048). While post-operative morbidity was similar, L-SALC was associated with a longer post-operative length of stay as compared to L-DLC (L-SALC, 2 (1�17) vs L-DLC, 1 (1�6)) (p < 0.001). Conclusion: DLC provides lower conversion rates and shorter length of stay in AC patients presenting beyond 7�days of symptoms. This group of patients should be offered DLC. � 2017, The Society for Surgery of the Alimentary Tract.
dc.publisherSpringer New York LLC
dc.sourceScopus
dc.subjectAcute cholecystitis
dc.subjectConversion
dc.subjectDelayed laparoscopic cholecystectomy
dc.subjectDelayed presentation
dc.subjectSame-admission laparoscopic cholecystectomy
dc.typeArticle
dc.contributor.departmentDEPT OF SURGERY
dc.description.doi10.1007/s11605-017-3378-1
dc.description.sourcetitleJournal of Gastrointestinal Surgery
dc.description.volume21
dc.description.issue5
dc.description.page840-845
dc.published.statepublished
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