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Journals / Bakırköy Tıp Dergisi / 2021 / Cilt: 17 - Sayı: 4

Management Strategies for Acute Cholecystitis: Is the Timing of Surgery Important?

Akut Kolesistit için Tedavi Stratejileri: Cerrahi Zamanlamasının Bir Önemi Var Mıdır?

Özgür Ekinci
Orhan Alimoğlu
Aman Gapbarov
Tunç Eren
Metin Leblebici
Damla Beyazadam
Nurgül Bulut
Pages
312–319
Publication Date
2022-10-11
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The incidence of ASA score of 3 and the mean levels of bilirubin, aspartate aminotransferase, and alanine aminotransferase was higher, whereas the mean hemoglobin value was lower in the NOM group (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The timing of cholecystectomy is still controversial in acute cholecystitis (AC).
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Key Findings & Data:Results: The study group of 125 patients comprised of 71 patients (56.8%) in the EC, 29 (23.2%) in the DC, and 25 patients (20%) in the NOM group.
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Conclusion & Impact:The incidence of ASA score of 3 and the mean levels of bilirubin, aspartate aminotransferase, and alanine aminotransferase was higher, whereas the mean hemoglobin value was lower in the NOM group (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The timing of cholecystectomy is still controversial in acute cholecystitis (AC). This study aimed to evaluate the outcomes of early cholecystectomy (EC), delayed cholecystectomy (DC), and non-operative management (NOM) for AC. Methods: The patients with AC, who were treated in a one-year-period, were divided into EC, DC, and NOM subgroups. Parameters, including demographics, laboratory results, imaging findings, body mass index (BMI), American Society of Anesthesiologists (ASA) score, the timing of surgery, operative time, gallstone size, postoperative complications, and postoperative length of hospital stay were analyzed. Results: The study group of 125 patients comprised of 71 patients (56.8%) in the EC, 29 (23.2%) in the DC, and 25 patients (20%) in the NOM group. Patients in the NOM group were relatively older (p0.05). The incidence of ASA score of 3 and the mean levels of bilirubin, aspartate aminotransferase, and alanine aminotransferase was higher, whereas the mean hemoglobin value was lower in the NOM group (p

Özet

Amaç: Akut kolesistit (AK) olgularında kolesistektominin zamanlaması halen tartışmalıdır. Bu çalışmanın amacı, AK için erken kolesistektomi (EK), geç kolesistektomi (GK) ve non-operatif tedavi (NOT) sonuçlarının karşılaştırılmasıdır. Gereç ve Yöntem: Bir yıllık süreçte AK tanısıyla tedavi edilen hastalar EK, GK ve NOT alt gruplarına ayırıldı. Demografik veriler, laboratuvar sonuçları, görüntüleme bulguları, vücut kitle indeksi (VKİ), Amerikan Anestiyoloji Derneği (ASA) skoru, cerrahi zamanlaması, ameliyat süresi, safra taşı boyutu, postoperatif komplikasyonlar ve postoperatif hastanede yatış süresini içeren parametreler analiz edildi. Bulgular: Çalışmaya dahil olan 125 hastanın; 71’i (%56,8) EK grubunda, 29’u (%23,2) GK grubunda ve 25’i (%20) NOT grubundaydı. Hastalardan NOT grubunu oluşturanlar, göreceli olarak daha yaşlı idi (p0,05). Alt gruplardan NOT grubunda; ASA 3 skoru sıklığı, ortalama bilirubin değerleri ile aspartat aminotransferaz ve alanin aminotransferaz değerleri daha yüksek iken ortalama hemoglobin değeri daha düşüktü (p

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Cite This Article

Ekinci, Ö., Alimoğlu, O., Gapbarov, A., Eren, T., Leblebici, M., Beyazadam, D., Bulut, N. (2022). Management Strategies for Acute Cholecystitis: Is the Timing of Surgery Important?. Bakırköy Tıp Dergisi, Cilt: 17 - Sayı: 4, 312–319. https://ajindex.com/articles/460011

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