Acute cholecystitis
Conditions
Interventions
In the early group, patients undergo laparoscopic cholecystectomy within 72 h of admission.
In the early interval group, patients are treated with intravenous fluids and antibiotics until inflammatio
Sponsors
Yawatahama city general hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: (1) Patients referred to our outpatient with a diagnosis of acute cholecystitis (2) With a possibility of laparoscopic cholecystectomy within 72h after admission (3) Written informed consent
Exclusion criteria
Exclusion criteria: (1) Sever cholecystitis (Based on TG13) (2) ASA (American society of anesthesiologists) physical status 4 and 5 (3) perforation or abcess of the gallbladder (4) co-existing common bile duct stones (5) previous upper abdominal surgery (6) life expectancy less than 48h (7) pregnancy or breastfeeding (8) contraindications against the antibiotic (PIPC/TZB) used in this trial
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Operation time | — |
Secondary
| Measure | Time frame |
|---|---|
| (1) total operation time (2) specific operation time (3) intraoperative blood loss (4) rate of conversion from laparoscopic to open cholecystectomy (5) morbidity (6) major bile duct injury (7) injury of gallbladder wall (8) decomplession of gallbladder (9) using of closed suction drainage (10) length of postoperative hospital stay (11) length of total hospital stay (12) total cost of admission (13) subjective difficulty of the operation | — |
Countries
Japan
Contacts
Public ContactMasao Nakajima
Yawatahama city general hospital Surgery
Outcome results
None listed