Evidence map›Paper›PMID 40700115›Full record

ArticleMedical sciences (Basel, Switzerland)2025

Emergency Laparoscopic Cholecystectomy Pathway Reduces Elective Waiting Times and Preoperative Admissions: A Prospective Propensity-Matched Cohort Study.

Mohammed Hamid, Omar E S Mostafa, Maria Kausar, Amina Amin, Oladapo Olajumoke, Abhinav Singhal, Gowtham Bharnala, Akinfemi Akingboye, Ricardo Camprodon, Chaminda Sellahewa

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In one paragraph

Article in Medical sciences (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Mohammed HamidGeneral Surgery Department, Russell's Hall Hospital, Dudley Group NHS Foundation Trust, Pensnett Rd, Dudley DY1 2HQ, UK.ORCID 0000-0001-7159-2435
Omar E S MostafaGeneral Surgery Department, Russell's Hall Hospital, Dudley Group NHS Foundation Trust, Pensnett Rd, Dudley DY1 2HQ, UK.ORCID 0000-0001-5273-3386
Maria KausarGeneral Surgery Department, Russell's Hall Hospital, Dudley Group NHS Foundation Trust, Pensnett Rd, Dudley DY1 2HQ, UK.
Amina AminGeneral Surgery Department, Russell's Hall Hospital, Dudley Group NHS Foundation Trust, Pensnett Rd, Dudley DY1 2HQ, UK.
Oladapo OlajumokeGeneral Surgery Department, Russell's Hall Hospital, Dudley Group NHS Foundation Trust, Pensnett Rd, Dudley DY1 2HQ, UK.
Abhinav SinghalGeneral Surgery Department, Russell's Hall Hospital, Dudley Group NHS Foundation Trust, Pensnett Rd, Dudley DY1 2HQ, UK.
Gowtham BharnalaGeneral Surgery Department, Russell's Hall Hospital, Dudley Group NHS Foundation Trust, Pensnett Rd, Dudley DY1 2HQ, UK.
Akinfemi AkingboyeGeneral Surgery Department, Russell's Hall Hospital, Dudley Group NHS Foundation Trust, Pensnett Rd, Dudley DY1 2HQ, UK.ORCID 0000-0002-0325-8440
Ricardo CamprodonGeneral Surgery Department, Russell's Hall Hospital, Dudley Group NHS Foundation Trust, Pensnett Rd, Dudley DY1 2HQ, UK.
Chaminda SellahewaGeneral Surgery Department, Russell's Hall Hospital, Dudley Group NHS Foundation Trust, Pensnett Rd, Dudley DY1 2HQ, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEmergency laparoscopic cholecystectomy (ELC) has emerged as a viable alternative to delayed elective surgery for acute gallstone disease, although its widespread adoption is hindered by cultural barriers. This study compares outcomes between elective and emergency laparoscopic cholecystectomy and evaluates the impact of implementing an ELC pathway on elective waiting times, patient outcomes, and overall service delivery.

methodsA prospective cohort study was conducted between December 2021 and December 2023, including all patients undergoing emergency or elective laparoscopic cholecystectomy. One-to-one propensity score matching, correlation statistics, and multivariate logistic regression were used to analyse outcomes.

resultsOf 585 patients, 314 (53.4%) underwent emergency and 271 (46.3%) elective cholecystectomies. After matching, 474 patients were analysed (237 per group). The ELC pathway achieved an 81.4% first-presentation procedure rate, with 69.2% managed as day cases and 84.4% discharged the following day. Emergency cases had longer operative times (+9 min), higher rates of subtotal cholecystectomy (8.9% vs. 3.0%,

conclusionsAn ELC pathway is a safe and effective alternative to elective gallstone surgery, offering substantial benefits to patients and healthcare systems, while serving as a strategic, cost-conscious approach to reducing surgical waiting times and preoperative admissions. Its success hinges upon surgical expertise in acute decision making, skill in performing subtotal cholecystectomy, and access to institutional resources such as advanced imaging and ERCP services.

Indexed as

Cholecystectomy, LaparoscopicElective Surgical ProceduresPatient AdmissionAdultAgedEmergenciesFemaleGallstonesHumansMaleMiddle AgedPropensity ScoreProspective StudiesTime-to-TreatmentWaiting Listsemergency cholecystectomypatient outcomespostoperative ERCPpreoperative admissionsservice costsubtotal cholecystectomywaiting list

Identifiers

PMID40700115
PMCPMC12286089

What OpenQuestion holds

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Registered trials

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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.