The DOI matches its Crossref record; 6 of the 6 references it cites were found in a registry or an index.
Randomized trial of early versus delayed laparoscopic cholecystectomy for acute cholecystitis
Abstract
Background: The aim of this prospective randomized study was to define the optimum management between early and delayed laparoscopic cholecystectomy for patients with acute cholecystitis. Methods: Patients were randomized to receive either early laparoscopic cholecystectomy within 24 h of randomization or initial conservative treatment followed by delayed laparoscopic cholecystectomy 6–8 weeks later. Results: There were 53 patients in the early group and 51 in the delayed group. There was no significant difference in conversion rate (early 21 per cent versus delayed 24 per cent), postoperative analgesic requirement (1 versus 2 doses) and postoperative complications. However, the early group had significantly longer operating time (122·8 versus 106·6 min, P = 0·04) and shorter total hospital stay (7·6 versus 11·6 days, P < 0·001). Conclusion: Early laparoscopic cholecystectomy is safe and feasible for acute cholecystitis with the additional benefit of shorter total hospital stay. Apart from a shorter operating time, treating patients with delayed laparoscopic cholecystectomy does not offer additional benefit.
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Cites
The european experience with laparoscopic cholecystectomy
Cuschieri, A., Dubois, F., Mouïel, J., Mouret, P., Becker, H. D., Buess, G., Trede, M., & Troidl, H. (1991) · The American Journal of Surgery · doi:10.1016/0002-9610(91)90603-b · Cited by 956
Ralls, P. W., Colletti, P. M., Lapin, S., Chandrasoma, P. T., Boswell, W. D., Ngo, C., Radin, D. R., & HALLS, J. M. (1985) · Radiology · doi:10.1148/radiology.155.3.3890007 · Cited by 313
Early Cholecystectomy for Acute Cholecystitis: A Prospective Randomized Study
JÄRVINEN, H. J., & HÄSTBACKA, J. (1980) · Annals of Surgery · doi:10.1097/00000658-198004000-00018 · Cited by 210
Early or delayed cholecystectomy in acute cholecystitis? A clinical trial
Norrby, S., Herlin, P., Holmin, T., Sjödahl, R., & Tagesson, C. (1983) · Journal of British Surgery · doi:10.1002/bjs.1800700309 · Cited by 172
Laparoscopic cholecystectomy for acute cholecystitis
Kum, C. K., Goh, P. M. Y., Isaac, J., Tekant, Y., & Ngoi, S. S. (1994) · British journal of surgery · doi:10.1002/bjs.1800811130 · Cited by 157
Laparoscopic cholecystectomy as a safe and effective treatment for severe acute cholecystitis.
Wilson, R. G., MacIntyre, I. M., Nixon, S. J., Saunders, J. H., Varma, J. S., & King, P. M. (1992) · BMJ · doi:10.1136/bmj.305.6850.394 · Cited by 126
Cited by
Pisano, M., Allievi, N., Gurusamy, K., Borzellino, G., Cimbanassi, S., Boerna, D., Coccolini, F., Tufo, A., Di Martino, M., Leung, J., et al. (2020) · World Journal of Emergency Surgery · doi:10.1186/s13017-020-00336-x · Cited by 581
Sartelli, M., Chichom-Mefire, A., Labricciosa, F. M., Hardcastle, T., Abu-Zidan, F. M., Adesunkanmi, A. K., Ansaloni, L., Bala, M., Balogh, Z. J., Beltrán, M. A., et al. (2017) · World Journal of Emergency Surgery · doi:10.1186/s13017-017-0141-6 · Cited by 494
Sauerland, S., Agresta, F., Bergamaschi, R., Borzellino, G., Budzynski, A., Champault, G., Fingerhut, A., Isla, A., Johansson, M., Lundorff, P., et al. (2006) · Surgical Endoscopy And Other Interventional Techniques · doi:10.1007/s00464-005-0564-0 · Cited by 395
Does This Patient Have Acute Cholecystitis?
Trowbridge, R. L., Rutkowski, N. K., & Shojania, K. G. (2003) · JAMA · doi:10.1001/jama.289.1.80 · Cited by 388
Gurusamy, K., Samraj, K., Gluud, C., Wilson, E., & Davidson, B. R. (2010) · Journal of British Surgery · doi:10.1002/bjs.6870 · Cited by 366
Metadata
- Authors
- Lai, P. B. S., Kwong, K. H., Leung, K. L., Kwok, S. P. Y., Chan, A. C. W., Chung, S. C. S., & Lau, W. Y.
- Venue
- Journal of British Surgery
- Publisher
- Oxford University Press (OUP)
- Published
- 1998-06-01
- Volume
- 85
- Issue
- 6
- Pages
- 764-767
- ISSN
- 0007-1323 (ISSN-L)
- 1365-2168
- OpenAlex
- W1594644144
- Cited by
- 366
- References
- 6
- FWCI
- 5.95
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Randomized trial of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. https://app.cochat.ai/papers/10.1046/j.1365-2168.1998.00708.x
- The paper
- Lai, P. B. S., Kwong, K. H., Leung, K. L., Kwok, S. P. Y., Chan, A. C. W., Chung, S. C. S., & Lau, W. Y. (1998). Randomized trial of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Journal of British Surgery. https://doi.org/10.1046/j.1365-2168.1998.00708.x
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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