Acute calculous cholecystitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. APACHE-II score greater than or equal to 7 AND smaller than or equall to 14; 2. Acute calculous cholecystitis, defined according to Tokyo Guidelines; 3. Written informed consent.
Exclusion criteria
Exclusion criteria: 1. < 18 years of age; 2. Onset of symptoms lesser than or equal to 7 days before first presentation; 3. Already admitted to ICU; 4. Pregnancy; 5. APACHE-II score smaller than or equal to 6 OR greater than or equal to 15; 6. Acalculous cholecystitis; 7. Decompensated liver cirrhosis; 8. Mental illness prohibiting informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Mortality; 2. All procedure related major morbidity (Infectious complications, cardio-pulmonary complications, need for re-intervention, recurrent biliary disease). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. All individual components of primary endpoint; 2. Length of hospital admission; 3. Time to full recovery; 4. Cost-effectiveness analysis. | — |
Contacts
St Antonius Hospital, Department of Surgery, P.O. Box 2500