ArticleWorld journal of surgery2011
Mortality associated with the treatment of gallstone disease: a 10-year contemporary national experience.
Article in World journal of surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Association Between Gallstone Disease and Risk of Mortality of Cardiovascular Disease and Cancer: A Systematic Review and Meta-Analysis.Cardiovascular & hematological disorders drug targets · 2024Pooled it
- Anaesthetic regimens for day-procedure laparoscopic cholecystectomy.The Cochrane database of systematic reviews · 2014Pooled it
- Gallstone Dissolution Effects of Combination Therapy with n-3 Polyunsaturated Fatty Acids and Ursodeoxycholic Acid: A Randomized, Prospective, Preliminary Clinical Trial.Gut and liver · 2024Trial
- Article
- Asymptomatic gallstone disease: Re-evaluating the threshold for surgical options in the era of precision medicine.World journal of gastrointestinal surgery · 2025Review
- Are We Overtesting? Rethinking Routine Blood Work After Low-Risk Laparoscopic Cholecystectomy: A Retrospective Study.Medicina (Kaunas, Lithuania) · 2025Article
- [The clinical importance of the critical view of safety in laparoscopic cholecystectomy].Chirurgie (Heidelberg, Germany) · 2023Article
- [After inconspicuous elective laparoscopic cholecystectomy patients can be discharged without control of laboratory parameters].Chirurgie (Heidelberg, Germany) · 2022Article
- Cholecystectomy for asymptomatic gallstones: Markov decision tree analysis.World journal of clinical cases · 2022Review
- [Which patient needs controls of laboratory values after elective laparoscopic cholecystectomy?-Can a score help?]Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- Antibiotic use in patients with acute cholecystitis after percutaneous cholecystostomy.Journal of the Chinese Medical Association : JCMA · 2020Article
- Management of complicated gallstones in the elderly: comparing surgical and non-surgical treatment options.Gastroenterology report · 2019Article
- Laparoscopic cholecystectomy for acute calculous cholecystitis: a retrospective study assessing risk factors for conversion and complications.World journal of emergency surgery : WJES · 2016Article
- Emergency Abdominal Operations in the Elderly: A Multivariate Regression Analysis of 430 Consecutive Patients with Acute Abdomen.World journal of surgery · 2015Article
- Mortality after a cholecystectomy: a population-based study.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2015Article
- Cost-effectiveness of elective laparoscopic cholecystectomy versus observation in older patients presenting with mild biliary disease.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2014Article
- Evaluation of modified estimation of physiologic ability and surgical stress in patients undergoing surgery for choledochocystolithiasis.World journal of surgery · 2014Article
- Laparoscopic cholecystectomy performed by residents: a retrospective study on 569 patients.Surgery research and practice · 2014Article
- A population-based analysis of the morbidity and mortality of gallbladder surgery in the elderly.Surgical endoscopy · 2013Article
- Laparoscopic cholecystectomy as a teaching operation: comparison of outcome between residents and attending surgeons in 1,747 patients.Langenbeck's archives of surgery · 2012Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGallstones remain a common clinical problem requiring skilled operative and nonoperative management. The aim of the present population-based study was to investigate causes of gallstone-related mortality in Scotland.
methodsSurgical deaths were peer reviewed between 1997 and 2006 through the Scottish Audit of Surgical Mortality (SASM); data were analyzed for patients in whom the principal diagnosis on admission was gallstone disease.
resultsGallstone disease was responsible for 790/43,271 (1.83%) of the surgical deaths recorded, with an overall mortality for cholecystectomy of 0.307% (176/57,352), endoscopic retrograde cholangiopancreatography (ERCP) of 0.313% (117/37,345), and cholecystostomy of 2.1% (12/578) across the decade. However, the majority of patients who died were elderly (47.6% ≥ 80 years or older) and were managed conservatively. Deaths following cholecystectomy usually followed emergency admission (76%) and were more likely to have been associated with postoperative medical complications (n = 189) than surgical complications (n = 36). DISCUSSION: Although cholecystectomy is a relatively safe procedure, patients who die as a result of gallstone disease tend to be elderly, to have been admitted as emergency cases, and to have had co-morbidities. Future combined medical and surgical perioperative management may reduce the mortality rate associated with gallstones.
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