作者
James X Wu, Andrew T Nguyen, Christian de Virgilio, David S Plurad, Amy H Kaji, Virginia Nguyen, Edward Gifford, Michael de Virgilio, Reed Ayabe, Darin Saltzman, Dennis Kim
发表日期
2014/12/1
期刊
The American journal of surgery
卷号
208
期号
6
页码范围
911-918
出版商
Elsevier
简介
Background
The urgency of laparoscopic cholecystectomy for acute cholecystitis is under debate. We hypothesized that nighttime cholecystectomy is associated with decreased length of stay.
Methods
Retrospective review of 1,140 patients at 2 large urban referral centers with acute cholecystitis who underwent daytime (7 am to 7 pm) versus nighttime (7 pm to 7 am) cholecystectomy was conducted.
Results
Nighttime cholecystectomy did not affect the overall length of stay (3.7 vs 3.8 days, P = .08) or complication rate (5% vs 7%, P = .5) versus daytime cholecystectomy. Nighttime cholecystectomy was associated with a higher conversion rate to open cholecystectomy (11% vs 6%, P = .008). On multivariable analysis, independent predictors of conversion to open surgery were nighttime cholecystectomy, age, and gangrenous cholecystitis (P = .01). The only predictor of complications was gangrenous cholecystitis (P …
学术搜索中的文章
JX Wu, AT Nguyen, C de Virgilio, DS Plurad, AH Kaji… - The American journal of surgery, 2014
