Evidence map›Paper›PMID 40593317›Full record

ArticleSurgery today2025

Interval laparoscopic cholecystectomy for acute cholecystitis should be performed within approximately 1 week after gallbladder drainage.

Erica Nishimura, Kiminori Takano, Hiroto Fujisaki, Takako Muroi, Keita Hayashi, Yuki Tajima, Kumiko Hongo, Motohito Nakagawa

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Article in Surgery today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Erica NishimuraDepartment of Surgery, Hiratsuka City Hospital, 1-19-1 Minamihara, Hiratsuka, Kanagawa, 254-0065, Japan.
Kiminori TakanoDepartment of Surgery, Hiratsuka City Hospital, 1-19-1 Minamihara, Hiratsuka, Kanagawa, 254-0065, Japan. kiminoriman526@yahoo.co.jp.
Hiroto FujisakiDepartment of Surgery, Hiratsuka City Hospital, 1-19-1 Minamihara, Hiratsuka, Kanagawa, 254-0065, Japan.
Takako MuroiDepartment of Surgery, Hiratsuka City Hospital, 1-19-1 Minamihara, Hiratsuka, Kanagawa, 254-0065, Japan.
Keita HayashiDepartment of Surgery, Hiratsuka City Hospital, 1-19-1 Minamihara, Hiratsuka, Kanagawa, 254-0065, Japan.
Yuki TajimaDepartment of Surgery, Hiratsuka City Hospital, 1-19-1 Minamihara, Hiratsuka, Kanagawa, 254-0065, Japan.
Kumiko HongoDepartment of Surgery, Hiratsuka City Hospital, 1-19-1 Minamihara, Hiratsuka, Kanagawa, 254-0065, Japan.
Motohito NakagawaDepartment of Surgery, Hiratsuka City Hospital, 1-19-1 Minamihara, Hiratsuka, Kanagawa, 254-0065, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe optimal interval between gallbladder drainage for acute cholecystitis and laparoscopic cholecystectomy (LC) remains unclear. This study evaluated the ideal interval to perform LC after drainage from the perspectives of surgical difficulty and patient satisfaction.

methodsThis retrospective study included patients who underwent LC after drainage at our institution between April 2016 and November 2023. The patients were divided into early surgery (ES) and delayed surgery (DS) groups. The surgical outcomes and surgical difficulty scores were compared between the groups.

resultsA total of 72 patients (30 in the ES group and 42 in the DS group) were included. The median interval periods were 8 and 56 days in the ES and DS groups, respectively. Operative time, blood loss, and the incidence of postoperative complications were comparable between the groups. However, the rates of achieving a critical view of safety and avoiding conversion to open surgery were significantly higher in the ES group than in the DS group. Finally, scarring around Calot's triangle was significantly greater in the DS group than in the ES group. In addition, 19% of the patients in the DS group experienced cholecystitis recurrence, and 40% had tube-related complications during the interval period.

conclusionThe results showed that interval LC should be performed relatively soon after drainage.

Indexed as

Cholecystectomy, LaparoscopicCholecystitis, AcuteDrainageAgedAged, 80 and overConversion to Open SurgeryFemaleGallbladderHumansMaleMiddle AgedRetrospective StudiesTime FactorsCholecystectomyCholecystitisDrainageLaparoscopic

Identifiers

PMID40593317

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.