Seguridad de la colecistectomía laparoscópica temprana (&lt;48h) para pacientes con pancreatitis aguda biliar leve: revisión sistemática de la literatura y metaanálisis

Pérez, Leonardo José Randial; Parra, Juan Fernando; Dimas, Guillermo Aldana

doi:10.1016/j.ciresp.2013.01.024

Cited by 13 publications

(4 citation statements)

References 15 publications

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“…The first-line treatment of ABP is cholecystectomy and the timing of surgery depends on the severity of the ABP. Current guidelines recommend cholecystectomy during the index admission for patients with mild ABP (MABP) [3] and evidence supports the safety of early cholecystectomy in these patients [4].…”

Section: Introductionmentioning

confidence: 99%

Why are we performing fewer cholecystectomies for mild acute biliary pancreatitis? Trends and predictors of cholecystectomy from the National Readmissions Database (2010–2014)

Garg

Bazerbachi

Sarvepalli

et al. 2019

Gastroenterology Report

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BackgroundCurrent guidelines recommend cholecystectomy for patients with mild acute biliary pancreatitis (MABP) during the index admission because it is associated with better outcomes. In this study, we aimed to assess national trends in cholecystectomy during index admissions for MABP and to identify factors associated with cholecystectomy completion and 30-day readmission.MethodsUsing diagnostic codes and the National Readmissions Database, we identified patients admitted with MABP between 2010 and 2014. Differences in cholecystectomy rates were computed on the basis of various characteristics. We conducted a multivariable analysis to identify factors associated with 30-day readmission and cholecystectomy during the same admission.ResultsWe identified 255,695 unique index MABP cases (41.3% male) and the 30-day readmission rate was 12.6%. Overall, 43.8% underwent cholecystectomy and 25% underwent endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy. We observed a decreasing trend in both procedures during the study period (P < 0.001). In multivariate analysis, odds of 30-day readmission were reduced for patients undergoing ERCP with sphincterotomy (odds ratio, 0.78; 95% confidence interval, 0.74–0.84) or cholecystectomy (odds ratio, 0.37; 95% confidence interval, 0.35–0.39).ConclusionsFor patients with MABP, cholecystectomy or ERCP with sphincterotomy during the index admission decreased the risk of 30-day readmission. Despite this benefit and national guidelines recommending cholecystectomy during the index MABP admission, the rate of cholecystectomies performed nationally decreased during the study period. Further research is needed to understand the implications and reasons underlying this deviation from guidelines.

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Section: Introductionmentioning

confidence: 99%

Why are we performing fewer cholecystectomies for mild acute biliary pancreatitis? Trends and predictors of cholecystectomy from the National Readmissions Database (2010–2014)

Garg

Bazerbachi

Sarvepalli

et al. 2019

Gastroenterology Report

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“…Estas características hacen del abordaje laparoscópico un procedimiento menos mórbido y más rentable económicamente (9). La tasa de complicaciones reportada en la literatura mundial es del 4,8%, con la lesión de la vía biliar como la complicación más mórbida, que alcanza una tasa del 0% al 2% (10,11). La perforación iatrogénica de la vesícula biliar durante la colecistectomía laparoscópica (CL) es relativamente frecuente, con una incidencia que oscila entre el 15% al 40%; esta se asocia con caída de cálculos a la cavidad abdominal, también denominados cálculos abandonados, lo cual es más común durante la CL que durante la colecistectomía abierta.…”

Section: Discussionunclassified

Hallazgos imagenológicos en cálculos abandonados en cavidad abdominal posterior a colecistectomía por laparoscopia: serie de 7 casos y revisión de la literatura

Pérez

Araújo

Pérez

et al. 2017

Rev. Colomb. Gastroenterol.

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La colecistectomía laparoscópica (CL) es la técnica quirúrgica de elección actual para el tratamiento de la colelitiasis sintomática. Sin embargo, este procedimiento acarrea ciertas complicaciones, dentro de lascuales destacamos la perforación de la vesícula biliar con subsiguiente caída de los cálculos y bilis a la cavidad peritoneal, que puede dar origen a la formación de abscesos abdominales tiempo después de dicho procedimiento quirúrgico.Por tal motivo, los cálculos biliares abandonados deben reconocerse como una fuente potencial para la formación de un proceso inflamatorio intraabdominal, en especial cuando se tiene historia de perforaciónvesicular durante el procedimiento, o en los casos de conversión a colecistectomía abierta y caída de los cálculos a la cavidad peritoneal. Tanto los radiólogos como los cirujanos deben familiarizarse con los hallazgos imagenológicos de las diferentes modalidades diagnósticas, como el ultrasonido, la TC y la resonancia magnética, así como con las diferentes manifestaciones clínicas que pueden presentarse.En esta publicación, presentamos los casos de 7 pacientes con antecedente de colecistectomía laparoscópica que acudieron al servicio de urgencia de nuestro hospital por dolor abdominal y en quienes los hallazgos imagenológicos determinaron la presencia de colecciones perihepáticas por cálculos caídos.

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“…Recurrent biliary events are common in the first 30 days from index episode, and subsequent attacks could be more severe than the first one [26,27] (LE2). Therefore, the current recommendation for patients with mild gallstone pancreatitis is to undergo a laparoscopic cholecystectomy during initial hospitalization as soon as pancreatitis has been resolved, before discharge [31].…”

Section: Biliary Pancreatitismentioning

confidence: 99%

Acute Pancreatitis

Campli¹,

Cerioli²,

Leppäniemi³

et al. 2016

Emergency Laparoscopy

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Seguridad de la colecistectomía laparoscópica temprana (<48h) para pacientes con pancreatitis aguda biliar leve: revisión sistemática de la literatura y metaanálisis

Cited by 13 publications

References 15 publications

Why are we performing fewer cholecystectomies for mild acute biliary pancreatitis? Trends and predictors of cholecystectomy from the National Readmissions Database (2010–2014)

Why are we performing fewer cholecystectomies for mild acute biliary pancreatitis? Trends and predictors of cholecystectomy from the National Readmissions Database (2010–2014)

Hallazgos imagenológicos en cálculos abandonados en cavidad abdominal posterior a colecistectomía por laparoscopia: serie de 7 casos y revisión de la literatura

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