The Safety of Early Laparoscopic Cholecystectomy (&lt;48h) for Patients With Mild Gallstone Pancreatitis: A Systematic Review of the Literature and Meta-analysis

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

doi:10.1016/j.cireng.2013.01.009

Cited by 8 publications

(2 citation statements)

References 15 publications

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“…In a systematic review of the timing of cholecystectomy for mild biliary pancreatitis, it was reported that there was no readmission when cholecystectomy was performed on patients at the time of first admission . A meta‐analysis on the safety of cholecystectomy within 48 h of admission has also been conducted .…”

Section: Resultsmentioning

confidence: 99%

Japanese guidelines for the management of acute pancreatitis: Japanese Guidelines 2015

Yokoe

Takada

Mayumi

et al. 2015

J Hepato Biliary Pancreat

365

390

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The JPN Guidelines 2015 were prepared using the most up-to-date methods, and including the latest recommended medical treatments, and we are confident that this will make them easy for many clinicians to use, and will provide a useful tool in the decision-making process for the treatment of patients, and optimal medical support. The free mobile application and calculator for the JPN Guidelines 2015 is available via http://www.jshbps.jp/en/guideline/jpn-guideline2015.html.

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Section: Resultsmentioning

confidence: 99%

Japanese guidelines for the management of acute pancreatitis: Japanese Guidelines 2015

Yokoe

Takada

Mayumi

et al. 2015

J Hepato Biliary Pancreat

365

390

View full text Add to dashboard Cite

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“…The included 106 reviews focused on bowel conditions (42 reviews), appendicitis (40), gallstone disease (17), peptic ulcer disease (4), anorectal soft tissue infections (2) and abdominal wall hernias (1). The reviews of bowel conditions encompassed a diverse group of conditions that included bowel obstructions, colitis, ischaemia and diverticulitis.…”

Section: Resultsmentioning

confidence: 99%

Methodological overview of systematic reviews to establish the evidence base for emergency general surgery

Savović¹,

Blencowe²,

Strong³

et al. 2017

British Journal of Surgery

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BackgroundThe evidence for treatment decision‐making in emergency general surgery has not been summarized previously. The aim of this overview was to review the quantity and quality of systematic review evidence for the most common emergency surgical conditions.MethodsSystematic reviews of the most common conditions requiring unplanned admission and treatment managed by general surgeons were eligible for inclusion. The Centre for Reviews and Dissemination databases were searched to April 2014. The number and type (randomized or non‐randomized) of included studies and patients were extracted and summarized. The total number of unique studies was recorded for each condition. The nature of the interventions (surgical, non‐surgical invasive or non‐invasive) was documented. The quality of reviews was assessed using the AMSTAR checklist.ResultsThe 106 included reviews focused mainly on bowel conditions (42), appendicitis (40) and gallstone disease (17). Fifty‐one (48·1 per cent) included RCTs alone, 79 (74·5 per cent) included at least one RCT and 25 (23·6 per cent) summarized non‐randomized evidence alone. Reviews included 727 unique studies, of which 30·3 per cent were RCTs. Sixty‐five reviews compared different types of surgical intervention and 27 summarized trials of surgical versus non‐surgical interventions. Fifty‐seven reviews (53·8 per cent) were rated as low risk of bias.ConclusionThis overview of reviews highlights the need for more and better research in this field.

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Optimizing cholecystectomy time in moderate acute biliary pancreatitis: A randomized clinical trial study

Davoodabadi

Beigmohammadi

Gilasi

et al. 2020

Heliyon

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Background: In mild to moderate gallstone pancreatitis, cholecystectomy is the most appropriate treatment for prevention of further biliary attacks. However, the timing of cholecystectomy is not precisely determined. The present study was conducted to compare outcomes of very early (within 48 h) versus delayed (more than 1 week) laparoscopic cholecystectomy in patients with acute biliary pancreatitis (ABP). . Two hundred and eight cases with mild to moderate ABP were randomly assigned to 2 groups, with 104 patients in group 1 (operation within 48 h) and 104 in group 2 (operation after one week). Age, sex, biochemical parameters, clinical manifestation at the time of admission, operation time, recurrent biliary problems, relapse, peri-operative complications, conversion rate, and hospital length of stay in the two groups were recorded and compared. In addition, Ranson's score and Revised Atlanta criteria, the American Society of Anaesthesiologists Physical Status ASA-PS, Charlson Co-Morbidity Index (CCI), complexity of surgery and Clavien-Dindo score were also determined. Results: There were no differences in demographics, peri-operative complications 4 (4%) vs. 4 (4%), P ¼ 1), conversion rate (10.6% vs. 11.5%; P ¼ 0.825) and procedure time (83 vs. 81 minutes, P ¼ 0.110) between the two groups. There were no deaths in either group; however, the length of hospital stay was shorter in the early group compared to the delayed one, (3.66 AE 1.12 vs. 10.35 AE 1.76, P < 0.001). Conclusion: Cholecystectomy within 48 h decreases significantly the length of hospital stay, without any difference in conversion rate, procedure time, or complication rate.

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The Safety of Early Laparoscopic Cholecystectomy (<48h) for Patients With Mild Gallstone Pancreatitis: A Systematic Review of the Literature and Meta-analysis

Cited by 8 publications

References 15 publications

Japanese guidelines for the management of acute pancreatitis: Japanese Guidelines 2015

Japanese guidelines for the management of acute pancreatitis: Japanese Guidelines 2015

Methodological overview of systematic reviews to establish the evidence base for emergency general surgery

Optimizing cholecystectomy time in moderate acute biliary pancreatitis: A randomized clinical trial study

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