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Surgical Endoscopy
Erschienen in: Surgical Endoscopy 3/2016

01.03.2016

Early laparoscopic cholecystectomy is superior to delayed acute cholecystitis: a meta-analysis of case–control studies

verfasst von: Amy M. Cao, Guy D. Eslick, Michael R. Cox

Erschienen in: Surgical Endoscopy | Ausgabe 3/2016

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Abstract

Background

Since the advent of laparoscopic cholecystectomy (LC) there has been continued debate regarding the management of acute cholecystitis with either early or delayed LC. Nearly all studies have demonstrated that early LC has a significantly shorter total length of hospital stay compared with delayed LC. Although previous randomized controlled trials and meta-analysis have shown clinical outcomes to favour early surgery, clinical practice continues to vary significantly worldwide. In addition, there is much confusion in the optimal timing for early LC with definitions of early varying from 72 h to 7 days. There have been numerous case–control studies investigating the timing of LC in acute cholecystitis. The aim of this paper is to pool the results from all case–control studies to investigate outcomes including mortality rates, complication rates, length of hospital stay and conversion rates to open procedures.

Methods

A search of electronic databases was performed for case–control studies published between 1985–February 2015.

Results

Results from 77 case–control studies showed statistically significant reductions in mortality, complications, bile duct leaks, bile duct injuries, wound infections, conversion rates, length of hospital stay and blood loss associated with early LC. Although LC within the 72-h window is optimal, patients operated after this window still benefit from early surgery compared to delayed surgery. The duration of symptoms in acute cholecystitis should not influence the surgeons’ willingness to operate acutely.

Conclusions

Early LC is clearly superior to delayed LC in acute cholecystitis. The most recent evidence-based practice strongly suggests that early LC should be standard of care in the management of acute cholecystitis.
Literatur
1.
Schirmer BD (2005) Cholelithiasis and cholecystitis. J Long Term Eff Med Implants 15(3):329–338PubMedCrossRef
2.
Cox MR, Wilson TG, Luck AJ, Jeans PL, Padbury RT, Toouli J (1993) Laparoscopic cholecystectomy for acute inflammation of the gallbladder. Ann Surg 218(5):630–634PubMedCentralPubMedCrossRef
3.
Friedman GD (1993) Natural history of asymptomatic and symptomatic gallstones. Am J Surg 165:399–404PubMedCrossRef
4.
Cox MR, Cook L, Dobson J, Lambrakis P, Ganesh S, Cregan P (2010) Acute surgical unit: a new model of care. ANZ J Surg 80(6):419–424PubMedCrossRef
5.
Parasyn AD, Truskett PG, Bennett M, Lum S, Barry J, Haghighi K, Crowe P (2009) Acute-care surgical service: a change in culture. ANZ J Surg 79(1–2):12–18PubMedCrossRef
6.
Koo KP, Thirlby RC (1996) Laparoscopic cholecystectomy in acute cholecystitis: What is the optimal timing for operation? Arch Surg 131(5):540–545PubMedCrossRef
7.
Garber SM, Korman J, Cosgrove JM, Cohen JR (1997) Early laparoscopic cholecystectomy for acute cholecystitis. Surg Endosc 11:347–350PubMedCrossRef
8.
Pessaux P, Tuech JJ, Rouge C, Duplessis R, Cervi C, Arnaud JP (2000) Laparoscopic cholecystectomy in acute cholecystitis. A prospective comparative study in patients with acute vs chronic cholecystitis. Surg Endosc 14:358–361PubMedCrossRef
9.
Eldar S, Sabo E, Nash E, Abrahamson J, Matter I (1997) Laparoscopic cholecystectomy for acute cholecystitis: prospective trial. World J Surg 21:540–545PubMedCrossRef
10.
Cheruvu CVN, Eyre-Brook IA (2002) Consequences of prolonged wait before gallbladder surgery. Ann R Coll Surg Engl 84:20–22PubMedCentralPubMed
11.
Lawrentschuk N, Hewitt PM, Pritchard MG (2003) Elective laparoscopic cholecystectomy: implications of prolonged waiting times for surgery. ANZ J Surg 73(11):890–893PubMedCrossRef
12.
Cao AM, Eslick G, Cox MR (2015) Early cholecystectomy is superior to delayed cholecystectomy for acute cholecystitis: a meta-analysis. J Gastrointest Surg 19(5):848–857PubMedCrossRef
13.
Yamashita Y, Takada T, Kawarada Y, Nimura Y, Hirota M, Miura F, Mayumi T, Yoshida M, Strasberg S, Pitt HA, Santibanes ED, Belghiti J, Buchler MW, Gouma DJ, Fan ST, Hilvano SC, Lau JWY, Kim SW, Belli G, Windsor JA, Liau KH, Sachakul V (2007) Surgical treatment of patients with acute cholecystitis: Tokyo Guidelines. J Hepatobiliary Pancreat Surg 14:91–97PubMedCentralPubMedCrossRef
14.
Cameron IC, Chadwick C, Phillips J, Johnson AG (2004) Management of acute cholecystitis in UK hospitals: time for a change. Postgrad Med J 80:292–294PubMedCentralPubMedCrossRef
15.
Senapati PS, Bhattarcharya D, Harinath G, Ammori BJ (2003) A survey of the timing and approach to the surgical management of cholelithiasis in patients with acute biliary pancreatitis and acute cholecystitis in the UK. Ann R Coll Surg Engl 85:306–312PubMedCentralPubMedCrossRef
16.
Sankarankutty A, Luz LT, Campos T, Rizou S, Fraga GP, Nascimento B Jr (2012) Uncomplicated acute cholecystitis: Early or delayed laparoscopic cholecystectomy? Rev Col Bras Cir 39(5):436–440PubMedCrossRef
17.
Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 151:264–269PubMedCrossRef
18.
19.
DerSimonian R, Laird N (1986) Meta-analysis in clinical trials. Control Clin Trials 7:177–188PubMedCrossRef
20.
21.
Yates F (1934) Contingency tables involving small numbers and the x2 test. J R Stat Soc 1(2):217–235
22.
Haviland MG (1990) Yates’s correction for continuity and analysis of 2 × 2 contingency tables. Stat Med 9:363–367PubMedCrossRef
23.
Walter SD (1987) Point estimation of the odds ratio in sparse 2 × 2 contingency tables. Biostatistics 38:71–102 CrossRef
24.
Egger M, Davey S, Schneider M, Minder C (1997) Bias in meta-analysis detected by a simple, graphical test. Br Med J 315:629–634CrossRef
25.
Orwin R (1983) A fail-safe N for effect size in meta-analysis. JSE 8:157–159
26.
Doctor N, Gomes R (2014) Comparison of emergency laparoscopic cholecystectomy for acute cholecystitis within and beyond 72 h of symptom onset. HPB 16(suppl 2):258–316
27.
Gomes RM, Mehta NT, Varik V, Doctor NH (2013) No 72-hour pathological boundary for safe early laparoscopic cholecystectomy in acute cholecystitis: a clinicopathological study. Ann Gastroenterol 26(4):340–345PubMedCentralPubMed
28.
Wilson E, Gurusamy K, Gluud C, Davidson BR (2010) Cost utility and value of information analysis of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Br J Surg 97:210–219PubMedCrossRef
29.
Banz V, Gsponer T, Candinas D, Guller U (2011) Population-based analysis of 4113 patients with acute cholecystitis. Ann Surg 254:964–970PubMedCrossRef
30.
Hara Y, Fujiogi M, Nakano T, Oda G, Kawakami M, Nakajima Y, Shioiri S, Kobayashi T, Yasuno M (2014) Evaluation of the optimal timing of laparoscopic cholecystectomy for acute cholecystitis focusing on the severity grade. Surg Endosc 28:S1–S53
31.
Al-Faouri AF, Halasa SA, Al-Hourani SA, Al-Mnaizel TS (2012) Early versus delayed laparoscopic cholecystectomy for management of acute calculus cholecystitis: our experience at King Hussein Medical Center. J R Med Serv 19(2):10–15
32.
Barcelo M, Cruz-Santamaria DM, Alba-Lopez C (2013) Advantages of early cholecystectomy in clinical practice of a tertiary care center. Hepatobiliary Pancreat Dis Int 12:87–93PubMedCrossRef
33.
Sanchez Beorlegui J, Lagunas Lostao E, Lamata Hernandez F, Monsalve Laguna EC (2009) Treatment of acute cholecystitis in the elderly: urgent surgery versus medical therapy and surgery delay. Rev Gastroenterol Peru 29(4):332–340PubMed
34.
Bhattacharya D, Senapati PSP, Hurle R, Ammori BJ (2002) Urgent versus interval laparoscopic cholecystectomy for acute cholecystitis: a comparative study. J Hepatobiliary Pancreat Surg 9:538–542PubMedCrossRef
35.
Bodnar S, Kelemen O, Fule A, Kolonics G, Simon E, Batorfi J (1999) Laparoscopic cholecystectomy in acute cholecystitis. Acta Chir Hung 38(2):135–138PubMed
36.
Brooks KR, Scarborough JE, Vaslef SN, Shapiro ML (2013) No need to wait: an analysis of the timing of cholecystectomy during admission for acute cholecystitis using the American College of Surgeons National Surgical Quality Improvement Program database. J Trauma Acute Care Surg 74:167–174PubMedCrossRef
37.
Chang TC, Lin MT, Wu MH, Wang MY, Lee PH (2009) Evaluation of early versus delayed laparoscopic cholecystectomy in the treatment of acute cholecystitis. Hepatogastroenterology 56:26–28PubMed
38.
Cheng Y, Leng J, Tan J, Chen K, Dong J (2013) Proper surgical technique approved for early laparoscopic cholecystectomy for non-critically ill elderly patients with acute cholecystitis. Hepatogastroenterology 60(124):688–691PubMed
39.
Choi SB, Han HY, Kim CY, Kim WB, Song TJ, Suh SO, Kim YC, Choi SY (2011) Early laparoscopic cholecystectomy is the appropriate management for acute gangrenous cholecystitis. Am Surgeon 77:401–406PubMed
40.
Condilis N, Sikalias N, Mountzalia L, Vasilopoulos J, Koynnos C, Kotsifas T (2008) Acute cholecystitis: When is the best time for laparoscopic cholecystectomy? Ann Ital Chir 79:23–27PubMed
41.
Cutini CA, Scaravonati R, Milletari SL, Donnelly PE, Ortiz N, Azzi RM, Serafini VH, Antanavicius G (2013) Timing of laparoscopic cholecystectomy for acute cholecystitis: a retrospective study. Surg Endosc 27:S411
42.
De Mestral C, Rotstein OD, Laupacis A, Hoch JS, Zagorski B, Alali AS, Nathens AB (2014) Comparative operative outcomes for early and delayed cholecystectomy for acute cholecystitis. Ann Surg 259:10–15PubMedCrossRef
43.
Degrate L, Ciravegna AL, Margherita L, Guaglio M, Garancini M, Maternini M, Giordano L, Romano F, Gianotti L, Uggeri F (2013) Acute cholecystitis: the golden 72-h period is not a strict limit to perform early cholecystectomy. Results from 316 consecutive patients. Langenbecks Arch Surg 398:1129–1136PubMedCrossRef
44.
Farooq T, Buchanan G, Manda V, Kennedy R, Ockrim J (2009) Is early laparoscopic cholecystectomy safe after the “safe period”? J Laparoendosc Adv Surg Tech A 19(4):471–474PubMedCrossRef
45.
Gharaibeh KIA, Qasaimeh GR, Al-Heiss H (2002) Effect of timing of surgery, type of inflammation, and sex on outcome of laparoscopic cholecystectomy for acute cholecystitis. J Laparoendosc Adv Surg Tech A 12(3):193–198PubMedCrossRef
46.
Gonzalez-Rodriguez F, Paredes-Cotore J, Ponton C, Rojo Y, Flores E, San Luis-Calo E, Barreiro-Morandeira F, Punal JA, Fernandez A, Paulos A, Santos F, Cainzos M (2009) Early or delayed laparoscopic cholecystectomy in acute cholecystitis? Conclusions of a controlled trial. Hepatogastroenterology 56:11–16PubMed
47.
Hasbahceci M, Alimoglu O, Basak F, Canbak T, Sisik A, Caliskan Evren M, Bas G (2014) Review of clinical experience with acute cholecystitis on the development of subsequent gallstone-related complications. Turk J Med Sci 44:883–888PubMedCrossRef
48.
Hawasli A (1994) Timing of laparoscopic cholecystectomy in acute cholecystitis. J Laparoendosc Surg 4(1):9–16PubMedCrossRef
49.
Heitmann M, Super P (2001) Emergency laparoscopic cholecystectomy in acute cholecystitis. Br J Surg 88(Suppl. 1):67
50.
Jayathilaka MHA, Goh CSL, Woon WWL, Low JK, Junnarkar SP (2013) Acute versus interval cholecystectomy for acute cholecystitis: a cost-analysis study. HPB 15(Suppl. 2):15–82
51.
Kawaguchi K, Seo N, Ohota K, Urayama M, Toya R, Kimura W (2013) Early laparoscopic cholecystectomy for acute cholecystitis in accordance with the Tokyo Guidelines for the management of acute cholangitis and cholecystitis. General Med 2(1):127
52.
Kotsifas T, Kalligas T, Nestorides J, Priovolos A, Saroukos A, Alexiou K (1998) Acute cholecystitis: timing of laparoscopic cholecystectomy. In: 6th world congress of endoscopic surgery, pp 477–480
53.
Lezoche G, Campagnacci R, Baldarelli M, Ghiselli R, Paganini AM, Rimini M, Piccioli A, Romiti C, Haxiu M, Guerrieri M (2013) Acute cholecystitis: early or laparoscopic surgery vs antibiotic therapy and delayed elective cholecystectomy. Surg Endosc 27:S88
54.
Lo CM, Liu CL, Lai ECS, Fan ST, Wong J (1996) Early versus delayed laparoscopic cholecystectomy for treatment of acute cholecystitis. Ann Surg 223(1):37–42PubMedCentralPubMedCrossRef
55.
Low JK, Barrow P, Owera A, Ammori B (2007) Timing of laparoscopic cholecystectomy for acute cholecystitis: evidence to support a proposal for an early interval surgery. Am Surg 73(11):1188–1192PubMed
56.
Lunca S (2004) Early laparoscopic cholecystectomy for acute cholecystitis. Timisoara Med 54(1):59–62
57.
Meng FY, T MZ, Huang ML, Huang HW (2012) Laparoscopic cholecystectomy techniques with special care treatment in acute cholecystitis patients regardless of operation timing. Hepatogasteroenterology 59:1006–1009
58.
Navez B, Mutter D, Russier Y, Vix M, Jamali F, Lipski D, Cambier E, Guiot P, Leroy J, Marescaux J (2001) Safety of laparoscopic approach for acute cholecystitis: retrospective study of 609 case. World J Surg 25(10):1352–1356PubMedCrossRef
59.
Oymaci E, Ucar AD, Yakan S, Carti EB, Al Cosjun, Erkan N, Yildirim M (2014) Determination of optimal operation time for the management of acute cholecystitis: a clinical trial. Prz Gastroenterol 9(3):147–152PubMedCentralPubMed
60.
Pavlidis TE, Galanis IN, Grigoriou MC, Economou T, Pavlidis ET, Atmatzidis KS (2005) Role of laparoscopic cholecystectomy in acute calculus cholecystitis. Chirurgia 18(2):65–68
61.
Pessaux P, Tuech JJ, Regenet N, Fauvet R, Boyer J, Arnaud JP (2000) Laparoscopic cholecystectomy in the treatment of acute cholecystitis. Prospective non-randomized study. Gastroenterol Clin Biol 24(4):400–403PubMed
62.
Popkharitov AI (2008) Laparoscopic cholecystectomy for acute cholecystitis. Langenbecks Arch Surg 393:935–941PubMedCrossRef
63.
Rabie M (2005) Early versus delayed laparoscopic cholecystectomy for treatment of acute cholecystitis. El-Minia Med 16(1):312–318
64.
Ramananda S (2013) Laparoscopic cholecystectomy for acute cholecystitis in relation to its timing and safety. J Gastroenterol Hepatol 28(Suppl 3):93–94
65.
Sakran IF (2011) An ‘early interval’ (delayed urgent) laparoscopic cholecystectomy for acute cholecystitis: evidence to support a safe surgical procedure. J Fac Med Baghdad 53(2):142–146
66.
Salem MM (2009) Early versus delayed laparoscopic cholecystectomy in the treatment of acute cholecystitis. Kasr El Aini J Surg 10(3):91–96
67.
Serralta AS, Bueno JL, Planells MR, Rodero DR (2003) Prospective evaluation of emergency versus delayed laparoscopic cholecystectomy for early cholecystitis. Surg Laparosc Endosc Percutan Tech 13(2):71–75PubMedCrossRef
68.
Shirai J, Harada H, Fujikawa Y, Godai T, Kumakiri Y, Koizumi Y, Fukano F, Tamura I, Suzuki S, Yukawa N, Rino Y, Masuda M (2011) A study on laparoscopic cholecystectomy for acute cholecystitis. Yokohama Med J 62:501–504
69.
Stevens KA, Chi A, Lucas LC, Porter JM, Williams MD (2006) Immediate laparoscopic cholecystectomy for acute cholecystitis: no need to wait. Am J Surg 192:756–761PubMedCrossRef
70.
Tagaya N, Kogure H (1996) Laparoscopic cholecystectomy for acute cholecystitis. J Hepatobiliary Pancreat Surg 3:457–460CrossRef
71.
Tzovara G, Zacharoulis D, Liakou P, Theodoropoulos T, Paroutoglou G, Hatzitheofilou C (2006) Timing of laparoscopic cholecystectomy for acute cholecystitis: a prospective non randomized study. World J Gastroenterol 12(34):5528–5531
72.
Uchiyama K, Onishi H, Tani M, Kinoshita H, Ueno M, Yamaue H (2004) Timing of laparoscopic cholecystectomy for acute cholecystitis with cholecystolithiasis. Hepatogastroenterology 51:346–348PubMed
73.
Wang X, Qiao O, Sun Z (2004) The optimal timing of laparoscopic cholecystectomy for acute cholecystitis. J Laparosc Surg 9(3):176–177
74.
Wang YC, Yang HR, Chung PK, Jeng LB, Chen RJ (2006) Urgent laparoscopic cholecystectomy in the management of acute cholecystitis: timing does not influence conversion rate. Surg Endosc 20:806–808PubMedCrossRef
75.
Wu JM, Wu YM, Lee CY, Wang HP, Lin MT (2012) Is early laparoscopic cholecystectomy a safe procedure in patients when the duration of acute cholecystitis is more than three days? Hepatogastroenterology 59:10–12PubMed
76.
Zhu B, Zhang Z, Wang Y, Gong K, Lu Y, Zhang N (2012) Comparison of laparoscopic cholecystectomy for acute cholecystitis within and beyond 72 h of symptom onset during emergency admissions. World J Surg. doi:10.​1007/​s00268-012-1709-7 (July 18)
77.
78.
79.
Asai K, Watanabe M, Kusachi S, Matsukiyo H, Saito T, Kodama H, Dotai K, Hagiwara O, Enomoto T, Nakamura Y, Okamoto Y, Saida Y, Nagao J (2013) Changes in the therapeutic strategy for acute cholecystitis after the Tokyo guidelines were published. J Hepatobiliary Pancreat Sci 20:348–355PubMedCrossRef
80.
Cirocchi R, Del Sol A, Morelli U, Cattorini L, La Mura F, Napolitano V, Rossetti B, Giustozzi G, Sciannameo F (2008) Laparoscopic cholecystectomy for acute cholecystitis. G Chir 29(6–7):305–311PubMed
81.
Jaffer SA, Alfadagh Z, Mohammed MA (2013) Early versus delayed laparoscopic cholecystectomy in acute cholecystitis. Bas J Surg 30–34
82.
Jamil M, Niaz K, Ch TH, Ali A, Saeed S (2014) Laparoscopic cholecystectomy for acute cholecystitis: early versus delayed. Rawal Med J 39(2):199–202
83.
Madan AK, Aliabadi-Wahle S, Tesi D, Flint LM, Steinberg SM (2002) How early is early laparoscopic treatment of acute cholecystitis? Am J Surg 183(3):232–236PubMedCrossRef
84.
Ohta M, Iwashita Y, Yada K, Ogawa T, Kai S, Ishio T, Shibata K, Matsumoto T, Bandoh T, Kitano S (2012) Operative timing of laparoscopic cholecystectomy for acute cholecystitis in a Japanese institute. JSLS 16:65–70PubMedCentralPubMedCrossRef
85.
Peng WK, Sheikh Z, Nixon SJ et al (2005) Role of laparoscopic cholecystectomy in the early management of acute gallbladder disease. BJS 92:586–591CrossRef
86.
Qureshi A, Haider J, Aziz A (2012) Early laparoscopic cholecystectomy for acute calculous cholecystitis: What is the optimal timing? J Surg Pak 17(1):12–15
87.
88.
Sharma SK, Thapa PB, Maharjan DK, Dhakal A, Baral N (2009) Influence of duration of symptoms over perioperative outcomes during emergency laparoscopic cholecystectomy. Kathmandu Univ Med J 7(2):120–124
89.
Shin JH (2000) What is the optimal timing for laparoscopic cholecystectomy in acute cholecystitis. J Korean Surg Soc 58(3):407–411
90.
91.
Solej M, Martino V, Mao P, Enrico S, Rosa R, Fornari M, Destefano I, Ferrarese AG, Gibin E, Bindi F, Falcone A, Ala U, Nano M (2012) Early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Minerva Chir 67(5):381–387PubMed
92.
Al-Qahtani HH (2013) Laparoscopic cholecystectomy within one week from onset of acute cholecystitis: a 6-year experience. J Taibah Univ Med Sci 8(1):38–43
93.
Isoda N, Ido K, Kawamoto C (1999) Laparoscopic cholecystectomy in gallstone patients with acute cholecystitis. J Gasteroenterol 34:372–375CrossRef
94.
Memon MR, Memon SR, Mirani SH (2011) How early is early laparoscopic cholecystectomy in acute cholecystitis? Pak J Med 50(1):24–28
95.
Sulegaon NN, Rathod GH, Makwana R, Parmar RA, Chheda HP (2014) A comparative study of early versus interval cholecystectomy in a case of acute cholecystitis. Int J Sci Res (Ahmedabad) 3(7):393–395
96.
Soffer D, Blackbourne H, Schulman CI, Goldman M, Habib F, Benjamin R, Lynn M, Lopez PP, Cohn SM, McKenney MG (2007) Is there an optimal time for laparoscopic cholecystectomy in acute cholecystitis? Surg Endosc 21:805–809PubMedCrossRef
97.
Gelbard R, Karamanos E, Teixeria PG, Beale E, Talving P, Inaba K, Demetriades D (2014) Effect of delaying same-admission cholecystectomy on outcomes in patients with diabetes. BJS 101:74–78CrossRef
98.
Bulus H, Coskun A (2010) Timing of laparoscopic cholecystectomy for acute cholecystitis. BJS 97(S4):S106
99.
Khout H, Saul J, Cochrane J, Moussa O, Sarma VS, Fasih T (2011) Is laparoscopic cholecystectomy safe in emergency admissions? Overview of a district general hospital. Surg Endosc 25:S81
100.
Ozdemir H, Senol M, Sahiner Z (2014) Laparoscopic cholecystectomy for acute cholecystitis: When and why? Surg Endosc 28:S136
101.
Hadad SM, Vaidya JS, Baker L, Koh HC, Heron TP, Thompson AM (2007) Delay from symptom onset increases the conversion rate in laparoscopic cholecystectomy for acute cholecystitis. World J Surg 31:1298–1301PubMedCrossRef
102.
Knight JS, Mercer SJ, Somers SS, Walters AM, Sadek SA, Toh SKC (2014) Timing of urgent laparoscopic cholecystectomy does not influence conversion rate. BJS 91:601–604CrossRef
103.
Olavarrieta JR (2004) Early laparosocpic cholecystectomy in acute cholecystitis. Informe Medico 6(5):231
104.
Pieniowski E, Popowicz A, Lundell L, Gerber P, Fustafsson U, Sinabulya H, Sjodahl K, Tsekrekos A, Sandblom G (2014) Early versus delayed surgery for acute cholecystitis as an applied treatment strategy when assessed in a population-based cohort. Dig Surg 31(3):169–176PubMedCrossRef
105.
Gurusamy K, Samraj K, Gluud C, Wilson E, Davidson BR (2010) Meta-analysis of randomized controlled trials on the safety and effectiveness of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Br J Surg 97:141–150PubMedCrossRef
106.
Pepingco L, Eslick G, Cox M (2012) The acute surgical unit as a novel model of care for patients presenting with acute cholecystitis. MJA 196(8):509–510PubMed
107.
Nagaraja V, Eslick GD, Cox MR (2014) The acute surgical unit model verses the traditional “on call” model: a systematic review and meta-analysis. World J Surg 38(6):1381–1387PubMedCrossRef
Metadaten
Titel
Early laparoscopic cholecystectomy is superior to delayed acute cholecystitis: a meta-analysis of case–control studies
verfasst von
Amy M. Cao
Guy D. Eslick
Michael R. Cox
Publikationsdatum
01.03.2016
Verlag
Springer US
Erschienen in
Surgical Endoscopy / Ausgabe 3/2016
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-015-4325-4

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Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.