Serralta Alfonso S, Bueno Jose L, Planells Manuel R, Rodero David R
Servicio de Curugía General y del Aparato Digestivo II, Hospital Universitario La Fe, General y Aparato Digestivo II, Valencia, Spain.
Surg Laparosc Endosc Percutan Tech. 2003 Apr;13(2):71-5. doi: 10.1097/00129689-200304000-00002.
Treatment of acute cholecystitis is still under debate. The aim of this study was to evaluate the efficacy of early laparoscopic cholecystectomy (ELC) in comparison with conservative treatment followed by delayed laparoscopic cholecystectomy (DLC) in the management of acute cholecystitis. This prospective comparative study involved two groups of patients presenting with acute cholecystitis within 72 hours of the onset of symptoms. ELC was performed in 82 consecutive patients, whereas DLC was performed in 87 patients who previously underwent medical treatment. Surgical variables, hospital stay, and postoperative morbidity were evaluated in both groups. Time of surgery and conversion rate were lower in the ELC group. Postoperative morbidity was similar in both groups. Overall hospital stay was shorter in the ELC group. ELC within 72 hours of the onset of acute cholecystitis is a safe procedure with better results than DLC in terms of surgical timing, conversion rate, and hospital stay.
急性胆囊炎的治疗仍存在争议。本研究的目的是评估早期腹腔镜胆囊切除术（ELC）与保守治疗后延迟腹腔镜胆囊切除术（DLC）相比，在急性胆囊炎治疗中的疗效。这项前瞻性对照研究纳入了两组在症状出现72小时内出现急性胆囊炎的患者。连续82例患者接受了ELC，而87例先前接受过内科治疗的患者接受了DLC。对两组患者的手术变量、住院时间和术后发病率进行了评估。ELC组的手术时间和中转率较低。两组术后发病率相似。ELC组的总体住院时间较短。在急性胆囊炎发病72小时内进行ELC是一种安全的手术，在手术时机、中转率和住院时间方面比DLC效果更好。
