Abstract | INTRODUCTION: MATERIALS AND METHODS: A search of electronic databases was performed for randomised controlled trials. Fifteen studies were included. RESULTS: Early surgery has a decreased risk of wound infections (RR 0.57, 95 % CI 0.35-0.93, p=0.01) compared with delayed surgery but no difference in mortality, bile duct injuries, bile duct leaks and the risk of conversion to open surgery. Of patients in the delayed group, 9.7 % failed initial non-operative management and underwent emergency LC. Early surgery had a significantly reduced total hospital stay and mean hospital costs compared with delayed surgery. CONCLUSION:
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Authors | Amy M Cao, Guy D Eslick, Michael R Cox |
Journal | Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
(J Gastrointest Surg)
Vol. 19
Issue 5
Pg. 848-57
(May 2015)
ISSN: 1873-4626 [Electronic] United States |
PMID | 25749854
(Publication Type: Journal Article, Meta-Analysis, Review)
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Topics |
- Cholecystectomy
(methods)
- Cholecystitis, Acute
(surgery)
- Databases, Factual
- Humans
- Time Factors
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