Acute cholecystitis – early laparoskopic surgery versus antibiotic therapy and delayed elective cholecystectomy: ACDC-study
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چکیده
منابع مشابه
Acute cholecystitis – early laparoskopic surgery versus antibiotic therapy and delayed elective cholecystectomy: ACDC-study
BACKGROUND Acute cholecystitis occurs frequently in the elderly and in patients with gall stones. Most cases of severe or recurrent cholecystitis eventually require surgery, usually laparoscopic cholecystectomy in the Western World. It is unclear whether an initial, conservative approach with antibiotic and symptomatic therapy followed by delayed elective surgery would result in better morbidit...
متن کاملAcute cholecystitis: early versus delayed cholecystectomy, a multicenter randomized trial (ACDC study, NCT00447304).
OBJECTIVE Acute cholecystitis is a common disease, and laparoscopic surgery is the standard of care. BACKGROUND Optimal timing of surgery for acute cholecystitis remains controversial: either early surgery shortly after hospital admission or delayed elective surgery after a conservative treatment with antibiotics. METHODS The ACDC ("Acute Cholecystitis-early laparoscopic surgery versus anti...
متن کاملEarly versus delayed surgery for acute cholecystitis.
Early or delayed surgery in acute cholecystitis remains a controversial issue. In. a retrospective study 46 patients with early cholecystectomy were compared with 54 having delayed surgery in respect of diffic’ulty of operation, incidence of complications, frequency of diagnostic errors and time spent in hospital. Age and Sex distribution and operative procedures were similar in the two groups....
متن کاملEvaluation of Early versus Delayed Laparoscopic Cholecystectomy in Acute Cholecystitis
BACKGROUND Laparoscopic cholecystectomy is considered the gold standard for the management of acute cholecystitis but controversy surrounds the timings of the surgery. Studies are available favouring both early and delayed laparoscopic cholecystectomy. The objective of this study was to compare early versus delayed laparoscopic cholecystectomy for acute cholecystitis. METHODS This quasi-exper...
متن کاملEarly Versus Delayed Laparoscopic Cholecystectomy for Uncomplicated Acute Cholecystitis
Introduction: Acute cholecystitis is a relatively common complication of gallstones It can lead to significant morbidity and mortality from potentially life-threatening complications such as empyema, gallbladder gangrene and gallbladder perforation It presents as a surgical emergency and usually requires hospitalization for management Laparoscopic cholecystectomy is advocated for acute cholecys...
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ژورنال
عنوان ژورنال: Trials
سال: 2007
ISSN: 1745-6215
DOI: 10.1186/1745-6215-8-29