Abstract | BACKGROUND: METHODS: A retrospective review of patients presenting to Westmead Hospital with ACC between 2011 and 2012 was performed. Patients were classified according to the Tokyo Guidelines and only grade II and grade III patients were included. Clinical and complication details were recorded from the clinical notes. RESULTS: Of the 84 patients, 60 had grade II and 24 had grade III ACC. The mean age was 52 years and 59% were female. In both groups, index cholecystectomy was performed in 88% of patients. None of the grade II ACC patients and three (12%) of grade III ACC underwent cholecystostomy. Length of stay (5 versus 12, P < 0.001) and conversion rate (2% versus 27%, P = 0.006) was higher in the grade III group. There were no deaths in patient who underwent surgery in either group. Severe complications were not significantly different (2% versus 9%, P = 0.219). CONCLUSION:
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Authors | Deepali Kamalapurkar, Tony C Y Pang, Mehan Siriwardhane, Michael Hollands, Emma Johnston, Henry Pleass, Arthur Richardson, Vincent W T Lam |
Journal | ANZ journal of surgery
(ANZ J Surg)
Vol. 85
Issue 11
Pg. 854-9
(Nov 2015)
ISSN: 1445-2197 [Electronic] Australia |
PMID | 25644962
(Publication Type: Journal Article)
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Copyright | © 2015 Royal Australasian College of Surgeons. |
Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Cholecystectomy, Laparoscopic
- Cholecystitis, Acute
(diagnosis, surgery)
- Cholecystostomy
- Feasibility Studies
- Female
- Humans
- Length of Stay
- Male
- Middle Aged
- Postoperative Complications
(epidemiology)
- Retrospective Studies
- Severity of Illness Index
- Treatment Outcome
- Young Adult
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