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Fletcher E, Seabold E, Herzing K, et al. Laparoscopic cholecystectomy in the Acute Care Surgery model: risk factors for complications. Trauma Surg Acute Care Open. 2019;4(1):e000312doi: 10.1136/tsaco-2019-000312.
Fletcher, E., Seabold, E., Herzing, K., Markert, R., Gans, A., & Ekeh, A. P. (2019). Laparoscopic cholecystectomy in the Acute Care Surgery model: risk factors for complications. Trauma surgery & acute care open, 4(1), e000312. https://doi.org/10.1136/tsaco-2019-000312
Fletcher, Emily, et al. "Laparoscopic cholecystectomy in the Acute Care Surgery model: risk factors for complications." Trauma surgery & acute care open vol. 4,1 (2019): e000312. doi: https://doi.org/10.1136/tsaco-2019-000312
Fletcher E, Seabold E, Herzing K, Markert R, Gans A, Ekeh AP. Laparoscopic cholecystectomy in the Acute Care Surgery model: risk factors for complications. Trauma Surg Acute Care Open. 2019 Sep 13;4(1):e000312. doi: 10.1136/tsaco-2019-000312. eCollection 2019. PMID: 31565675; PMCID: PMC6744070.
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Trauma Surg Acute Care Open. 2019 Sep 13;4(1):e000312. doi: 10.1136/tsaco-2019-000312. eCollection 2019.

Laparoscopic cholecystectomy in the Acute Care Surgery model: risk factors for complications.

Trauma surgery & acute care open

Emily Fletcher, Erica Seabold, Karen Herzing, Ronald Markert, Alyssa Gans, Akpofure Peter Ekeh

Affiliations

  1. Department of Surgery, Wright State Physicians, Dayton, Ohio, USA.

PMID: 31565675 PMCID: PMC6744070 DOI: 10.1136/tsaco-2019-000312

Abstract

BACKGROUND: The Acute Care Surgery (ACS) model developed during the last decade fuses critical care, trauma, and emergency general surgery. ACS teams commonly perform laparoscopic cholecystectomy (LC) for acute biliary disease. This study reviewed LCs performed by an ACS service focusing on risk factors for complications in the emergent setting.

METHODS: All patients who underwent LC on an ACS service during a 26-month period were identified. Demographic, perioperative, and complication data were collected and analyzed with Fisher's exact test, χ

RESULTS: During the study period, 547 patients (70.2% female, mean age 46.1±18.1, mean body mass index 32.4±7.8 kg/m

DISCUSSION: Although several statistically significant relationships were identified between several risk factors and complications, these findings have limited clinical significance. Factors including attending years in practice and time of the operation were not associated with increased complications. ACS services are capable of performing a high volume of LCs for emergent indications with low complication and conversion rates.-Level of evidence:IV.

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Keywords: acute care surgery; complications; laparoscopic cholecystectomy

Conflict of interest statement

Competing interests: None declared.

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