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- W2060228944 abstract "The aims of this study were to describe the surgical management of acute cholecystitis (AC) in a well-defined population-based patient cohort, in particular adherence to and outcome of the early open/laparoscopic cholecystectomy (EC/ELC) strategy.The medical records of all patients residing in Stockholm County who were treated for AC during 2003 and 2008 were reviewed according to a standardized protocol.In 2003, 799 patients were admitted 850 times for AC, and the respective figures for 2008 were 833 and 919. The number of patients who underwent EC/ELC increased from 42.9% in 2003 to 47.4% in 2008. In multivariate regression analysis adjusting for age, gender, severity of cholecystitis, maximal CRP and maximal WBC, EC/ELC was associated with shorter operation time but higher perioperative blood loss when compared to delayed open/laparoscopic cholecystectomy (DC/DLC). The odds ratio for completing the procedure laparoscopically was significantly higher in DC/DLC when adjusting for the same covariates. There were no significant differences in peri- or postoperative complications between the groups.Strategies should be implemented in order to secure a more evidence-based approach to the surgical treatment of AC." @default.
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- W2060228944 date "2014-01-01" @default.
- W2060228944 modified "2023-10-02" @default.
- W2060228944 title "Early versus Delayed Surgery for Acute Cholecystitis as an Applied Treatment Strategy When Assessed in a Population-Based Cohort" @default.
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- W2060228944 doi "https://doi.org/10.1159/000363659" @default.
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