ISSN 3030-3001 Open Access · Peer Reviewed
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Keywords

acute cholecystitis, early cholecystectomy, delayed cholecystectomy, interval surgery, conversion,

How to Cite

TIMING OF CHOLECYSTECTOMY FOR ACUTE CHOLECYSTITIS: EARLY OPERATION (WITHIN 72 HOURS) VERSUS DELAYED (INTERVAL) SURGERY. (2026). MEDICINE, PEDAGOGY AND TECHNOLOGY: THEORY AND PRACTICE, 4(9), 44-46. https://universalpublishings.com/index.php/mpttp/article/view/20606

Abstract

This paper presents a comparative analysis of the clinical efficacy of early  laparoscopic  cholecystectomy  (performed  within  72  hours  of  symptom  onset)  versus  delayed (interval) surgical intervention for acute cholecystitis. Key assessment criteria  include  the  rate  of  intraoperative  complications,  the  risk  of  conversion  to  open  laparotomy, total length of hospital stay (LOS), and overall cost -effectiveness. Based on  data from current meta-analyses, the definitive advantages of the early surgical strategy  are established for the vast majority of patient cohorts.

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References

1. Затевахин, И. И. Острый холецистит у пациентов пожилого и старческого возраста: стандарты диагностики и лечения / И. И. Затевахин, М. С. Громов // Хирургия. Журнал им. Н.И. Пирогова. — 2024. — № 4. — С. 12–19.

2. Хатьков, И. Е. Особенности эндоскопической хирургии в гериатрической практике / И. Е. Хатьков, Р. Е. Асхабов // Эндоскопическая хирургия. — 2023. — Т. 29, № 5. — С. 22–28.

3. Loozen, C. S., et al. (2018). Laparoscopic cholecystectomy versus percutaneous catheter cholecystostomy for acute cholecystitis in high-risk patients (CHOCOLATE trial): randomized clinical trial. BMJ, 360, k111. doi.org

4. Pisanu, A., et al. (2021). World Society of Emergency Surgery (WSES) guidelines for the management of acute cholecystitis in the elderly and frail population. World Journal of Emergency Surgery, 16(1), 29-38.

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