The purpose of this study is to compare the clinical outcomes of early versus delayed laparoscopic cholecystectomies for acute cholecystitis with more than 72 hours of symptoms.
In acute biliary cholecystitis, there was a dogma that patients should be operated within 72 hours of evolution. However, retrospective studies suggested that laparoscopic cholecystectomy even after 72 hours was safe. Moreover, some randomized controlled-trials did not found any differences in term of complications between early and delayed cholecystectomy, however none of these studies did separate patients according to the onset of symptoms. The aim of our present study was to compare the clinical outcomes of immediate versus delayed cholecystectomies for acute cholecystitis with more than 72 hours of symptoms.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
86
3 trocars laparoscopic cholecystectomy
University of Lausanne Hospitals
Lausanne, Canton of Vaud, Switzerland
Number of Participants With Adverse Event ("Global Morbidity").
any adverse event occurring from time of diagnosis until the 30th postoperative day
Time frame: 30 postoperative days
Postoperative Complications
postoperative complications graded according to Clavien classification
Time frame: 30 postoperative days
Length of Stay
total in hospital stay
Time frame: 30 postoperative days
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