Outcomes of early cholecystectomy (within 7 days of admission) for acute cholecystitis according to diagnosis and severity grading by Tokyo 2013 Guideline

Özet

Objective: The timing of early cholecystectomy in acute cholecystitis is still controversial, and data regarding theuse of Tokyo 2013 guideline for diagnosis and severity grading in Acute Cholecystitis is limited. The aim of this studywas to evaluate the clinical and pathologic outcomes of early cholecystectomy after 72 hr and within seven daysof index admission according to Tokyo 2013 guideline for diagnosis and severity grading of Acute cholecystitis (inpatients with Acute cholecystitis.Material and Methods: Medical charts of 172 patients who underwent early cholecystectomy after 72 hr and within7 days of index admission with a diagnosis of Acute cholecystitis between Aug 2009 and Apr 2014 were retrospectively analyzed. Patients were classified according Tokyo 2013 guideline criteria.Results: The median age of the study group was 52 yr. The rates of open and laparoscopic cholecystectomies was53.5% and 33.1%, respectively. Conversion to open cholecystectomy was performed in 19 patients (13.4 %). Themedian length of hospital stay was 7 days. Eighty-four patients (59.2%) met the criteria for a definite diagnosis ofAcute cholecystitis according to Tokyo 2013 guideline. Longer postoperative and total length of hospital stay wasdetermined in patients with a definite diagnosis.Conclusion: Increased severity grading is correlated with longer pre- and post-operative hospital stay. Early cholecystectomy in Acute cholecystitis performed by experienced surgeons after 72 hr of admission and within 7 daysmaybe a feasible and safe procedure.