From mild to gangrenous cholecystitis, laparoscopic cholecystectomy is safe 24 hours a day

Authors

L R. Taveras, University of Texas Southwestern, Department of General Surgery, USA.
M G. Scrushy, University of Texas Southwestern, Department of General Surgery, USA. Electronic address: Marinda.Scrushy@phhs.org.
M W. Cripps, University of Colorado, Department of Surgery, Trauma and Acute Care Surgery, USA.Follow
K Kuhlenschmidt, University of Texas Southwestern, Department of General Surgery, USA.Follow
M Crandall, University of Florida College of Medicine Jacksonville, Jacksonville, Florida, Department of Surgery, USA.Follow
R Puri, University of Florida College of Medicine Jacksonville, Jacksonville, Florida, Department of Surgery, USA.Follow
T J. Schroeppel, University of Colorado, Department of Surgery, Trauma and Acute Care Surgery, USA.Follow
K M. Schuster, Yale School of Medicine New Haven, Connecticut, Department of Surgery, USA.Follow
R P. Dumas, University of Texas Southwestern, Department of General Surgery, USA.

Document Type

Article

Publication Title

American journal of surgery

Abstract

OBJECTIVES: Laparoscopic cholecystectomy (LC) at night remains controversial. Prior studies have not controlled for disease severity. We analyzed outcomes of LC performed day vs. night while controlling for the Parkland Grading Scale for Cholecystitis (PGS). METHODS: Analysis of the AAST multicenter evaluation of cholecystitis database was performed. Exclusion criteria included non-operative cases, open operations, and missing PGS. Cases were divided based on operation start time. PGS was used to control for disease severity. Outcomes included operative time, use of bailout techniques and complications. RESULTS: Of 759 procedures identified, 16% were nighttime LC. No differences in demographics, comorbidities, physiologic variables and PGS were noted. Operative time (108.6 min vs 105.6), bailout techniques (8.3% vs 7.4%) and complications (9.9% vs 11.3%) were similar between groups. CONCLUSION: Regardless of severity, laparoscopic cholecystectomy is safe 24-h a day. Operations performed at night have a similar complication profile to those performed during the day.

First Page

83

Last Page

86

DOI

10.1016/j.amjsurg.2023.01.029

Publication Date

7-1-2023

Recommended Citation

Taveras, L R.; Scrushy, M G.; Cripps, M W.; Kuhlenschmidt, K; Crandall, M; Puri, R; Schroeppel, T J.; Schuster, K M.; and Dumas, R P., "From mild to gangrenous cholecystitis, laparoscopic cholecystectomy is safe 24 hours a day" (2023). Surgery. 26.
https://scholar.bridgeporthospital.org/surgery/26

Identifier

36746709 (pubmed); 10.1016/j.amjsurg.2023.01.029 (doi); S0002-9610(23)00045-4 (pii)