Early cholecystectomy for acute cholecystitis: a prospective randomized study.

Abstract:

:A randomized clinical trial was undertaken to compare early and delayed cholecystectomy for acute cholecystitis. Patients entering early (n = 83) or delayed (n = 82) surgery groups were comparable with regard to prerandomization data. One patient in the early group and five in the delayed group refused surgery (p < 0.1) and two misdiagnoses occurred in each group. (2.4%). There was no difference in the incidence of technical difficulty measured by operative complications and duration of operations between the two groups. The same number of patients with common duct stones and perforations of the gallbladder were in each group. There was one death in the delayed group and none in the early group. Postoperative morbidity was 13.8% in the early group and 17.3% in the delayed surgery group (p > 0.1). Wound complications were slightly more common in the early surgery group (p > 0.1). In the delayed surgery group 13% of the patients had to be operated on before the planned date of surgery because conservative management failed. In addition, 15% of the patients had clear recurrent symptoms. Early surgery reduced total hospital stay by a mean of 7.5 days and the period of the patient's incapacity for work by 14.4 days. The data suggest that in acute cholecystitis early surgery is preferable when performed by an experienced surgeon with adequate pre- and intraoperative aids. Besides lower costs it offers the advantage of avoiding recurrent attacks and emergency operations without increasing mortality or morbidity.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Järvinen HJ,Hästbacka J

doi

10.1097/00000658-198004000-00018

subject

Has Abstract

pub_date

1980-04-01 00:00:00

pages

501-5

issue

4

eissn

0003-4932

issn

1528-1140

journal_volume

191

pub_type

临床试验,杂志文章,随机对照试验
  • Staging laparotomy in Hodgkin's disease.

    abstract::Staging laparotomy (multiple liver and lymph node biopsies and splenectomy) was performed at the North Carolina Baptist Hospital in 123 patients with Hodgkin's disease. There were no deaths. Wound, pulmonary, intra-abdominal or urinary tract complications developed in 17 patients. Of those complications, one case each...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198005000-00008

    authors: Sterchi JM,Myers RT

    更新日期:1980-05-01 00:00:00

  • Long-term survival after resection for bronchogenic carcinoma.

    abstract::Of 915 resections for bronchogenic carcinoma over a 25-year period (1945-1969), 249 patients survived over 5 years; 127 of the patients eligible survived over 10 years, 61 over 15 years, and 22 over 20 years. The case material was divided into three time periods: 1945-49, 1950-59 and 1960-69, as well as by extent of r...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197609000-00010

    authors: Paulson DL,Reisch JS

    更新日期:1976-09-01 00:00:00

  • Histology-based Classification Predicts Pattern of Recurrence and Improves Risk Stratification in Primary Retroperitoneal Sarcoma.

    abstract:OBJECTIVE:To determine the prognostic significance of histologic type/subtype in a large series of patients with primary resected retroperitoneal sarcoma. BACKGROUND:The histologic diversity and rarity of retroperitoneal sarcoma has hampered the ability to predict patient outcome. METHODS:From a single-institution, p...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000001149

    authors: Tan MC,Brennan MF,Kuk D,Agaram NP,Antonescu CR,Qin LX,Moraco N,Crago AM,Singer S

    更新日期:2016-03-01 00:00:00

  • The international position on laparoscopic liver surgery: The Louisville Statement, 2008.

    abstract:OBJECTIVE:To summarize the current world position on laparoscopic liver surgery. SUMMARY BACKGROUND DATA:Multiple series have reported on the safety and efficacy of laparoscopic liver surgery. Small and medium sized procedures have become commonplace in many centers, while major laparoscopic liver resections have been...

    journal_title:Annals of surgery

    pub_type: 共识发展会议,杂志文章,实务指引

    doi:10.1097/sla.0b013e3181b3b2d8

    authors: Buell JF,Cherqui D,Geller DA,O'Rourke N,Iannitti D,Dagher I,Koffron AJ,Thomas M,Gayet B,Han HS,Wakabayashi G,Belli G,Kaneko H,Ker CG,Scatton O,Laurent A,Abdalla EK,Chaudhury P,Dutson E,Gamblin C,D'Angelica M,Nag

    更新日期:2009-11-01 00:00:00

  • Human tissue reaction to sutures.

    abstract::Tissue reaction to sutures was studied in 666 specimens obtained from patients from one day to 23 years after operation. Reaction to catgut depends on the stage of absorption and is mainly histocytic in type. Nonabsorbable sutures are encapsulated by a rim of connective tissue, while near the suture histocytes, giant ...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197502000-00003

    authors: Postlethwait RW,Willigan DA,Ulin AW

    更新日期:1975-02-01 00:00:00

  • The emerging role of epidural anesthesia in arteriography and in vascular operations.

    abstract::Continuous epidural anesthesia offers special advantages for patients with vascular disease. In 193 patients who had this technique employed for aortofemoral arteriography, profound pain relief was provided and the accompanying vasodilation produced superior demonstration of collateral and small distal vessels. Eleven...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198206000-00015

    authors: Fuchs JC,Fagraeus L,Lumb PD

    更新日期:1982-06-01 00:00:00

  • Ultrasound-guided radiofrequency-assisted segmental liver resection: a new technique.

    abstract::Segmental hepatectomy is appealing for several reasons including preservation of liver parenchyma, reduction of intraoperative blood loss, and blood replacement by dividing tissues along the anatomic planes. A simple technique guided by intraoperative ultrasound is described here using radio-frequency energy to create...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0b013e3181b0c38a

    authors: Curro G,Bartolotta M,Barbera A,Jiao L,Habib N,Navarra G

    更新日期:2009-08-01 00:00:00

  • Tacrolimus and Single Intraoperative High-dose of Anti-T-lymphocyte Globulins Versus Tacrolimus Monotherapy in Adult Liver Transplantation: One-year Results of an Investigator-driven Randomized Controlled Trial.

    abstract:OBJECTIVE:The aim of the study is to evaluate whether intra-operative induction with anti-lymphocytic serum (ALS) is superior to no induction in adult liver transplantation (LT). BACKGROUND:The efficacy of ALS induction remains inconclusive in LT, because of poorly designed trials. METHODS:A randomized controlled tri...

    journal_title:Annals of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/SLA.0000000000002943

    authors: Iesari S,Ackenine K,Foguenne M,De Reyck C,Komuta M,Bonaccorsi Riani E,Ciccarelli O,Coubeau L,Lai Q,Gianello P,Lerut J

    更新日期:2018-11-01 00:00:00

  • Studies on the possible role of thyroid hormone in altered muscle protein turnover during sepsis.

    abstract::Five days after thyroidectomy (Tx) or sham-Tx in young male Sprague-Dawley rats, sepsis was induced by cecal ligation and puncture (CLP). Control animals underwent laparotomy and manipulation of the cecum without ligation or puncture. Sixteen hours after CLP or laparotomy, protein synthesis and degradation were measur...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198707000-00003

    authors: Hasselgren PO,Chen IW,James JH,Sperling M,Warner BW,Fischer JE

    更新日期:1987-07-01 00:00:00

  • Association Between Hospital Participation in Medicare Shared Savings Program Accountable Care Organizations and Readmission Following Major Surgery.

    abstract:OBJECTIVE:To evaluate the effect of Medicare Shared Savings Program accountable care organizations (ACOs) on hospital readmission after common surgical procedures. SUMMARY BACKGROUND DATA:Hospital readmissions following surgery lead to worse patient outcomes and wasteful spending. ACOs, and their associated hospitals,...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000002737

    authors: Borza T,Oerline MK,Skolarus TA,Norton EC,Dimick JB,Jacobs BL,Herrel LA,Ellimoottil C,Hollingsworth JM,Ryan AM,Miller DC,Shahinian VB,Hollenbeck BK

    更新日期:2019-05-01 00:00:00

  • Sentinel node skills verification and surgeon performance: data from a multicenter clinical trial for early-stage breast cancer.

    abstract:OBJECTIVE:Marked variations in sentinel lymph node dissection (SLND) technique have been identified, and definitive qualifications for SLND performance remain controversial. Based on previous reports and expert opinion, we predicted that 20 to 30 cases of SLND with axillary lymph node dissection (ALND) would enable sur...

    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1097/01.sla.0000184210.68646.77

    authors: Posther KE,McCall LM,Blumencranz PW,Burak WE Jr,Beitsch PD,Hansen NM,Morrow M,Wilke LG,Herndon JE 2nd,Hunt KK,Giuliano AE

    更新日期:2005-10-01 00:00:00

  • Skeletonizing en bloc esophagectomy for cancer.

    abstract:OBJECTIVE:To evaluate the long-term outcome of patients with esophageal cancer after resection of the extraesophageal component of the neoplastic process en bloc with the esophageal tube. SUMMARY BACKGROUND DATA:Opinions are conflicting about the addition of extended resection of locoregional lymph nodes and soft tiss...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-200107000-00005

    authors: Collard JM,Otte JB,Fiasse R,Laterre PF,De Kock M,Longueville J,Glineur D,Romagnoli R,Reynaert M,Kestens PJ

    更新日期:2001-07-01 00:00:00

  • Proposed Modification of the 8th Edition of the AJCC Staging System for Pancreatic Ductal Adenocarcinoma.

    abstract:OBJECTIVE:The aim of this study was to improve the 8th edition (8th) of the American Joint Committee on Cancer (AJCC) staging system for pancreatic ductal adenocarcinoma (PDAC). BACKGROUND:The new 8th AJCC staging system for PDAC was released in October, 2016, and will be applied in clinical practice in 2018. METHODS...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000002668

    authors: Shi S,Hua J,Liang C,Meng Q,Liang D,Xu J,Ni Q,Yu X

    更新日期:2019-05-01 00:00:00

  • The spectrum and natural history of common bile duct stenosis in chronic alcohol-induced pancreatitis.

    abstract::Sixty patients with chronic alcohol-induced pancreatitis with endoscopic retrograde cholangiopancreatography evidence of common bile duct stenosis were studied to determine the clinical spectrum and natural history of this complication, as well as the indications for biliary bypass. In 17% of patients, common bile duc...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198911000-00007

    authors: Kalvaria I,Bornman PC,Marks IN,Girdwood AH,Bank L,Kottler RE

    更新日期:1989-11-01 00:00:00

  • Evaluation of splenic injury by computed tomography and its impact on treatment.

    abstract::We reviewed 37 consecutive, hemodynamically stable patients (16 adults, 21 children) who had splenic injuries diagnosed by computed tomography (CT) scan to compare the CT evaluation with operative assessment of injury and eventual treatment. Computed tomographic scans and operative findings were graded by a splenic in...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199005000-00009

    authors: Malangoni MA,Cué JI,Fallat ME,Willing SJ,Richardson JD

    更新日期:1990-05-01 00:00:00

  • The Unconventional Role for Gastric Volume in the Response to Bariatric Surgery for Both Weight Loss and Glucose Lowering.

    abstract:OBJECTIVE:To study the relationship between the amount of surgery-induced gastric volume reduction and long-term weight loss and glucose tolerance. BACKGROUND DATA:Vertical sleeve gastrectomy (VSG) has recently surpassed gastric bypass to become the most popular surgical intervention to induce sustained weight loss. B...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000003240

    authors: Evers SS,Lewis AG,Tong C,Shao Y,Alvarez R,Ridelman E,Grant B,Seeley RJ

    更新日期:2020-06-01 00:00:00

  • Comparison of cancer-associated genetic abnormalities in columnar-lined esophagus tissues with and without goblet cells.

    abstract:OBJECTIVE:To determine and compare the frequency of cancer-associated genetic abnormalities in esophageal metaplasia biopsies with and without goblet cells. BACKGROUND:Barrett's esophagus is associated with increased risk of esophageal adenocarcinoma (EAC), but the appropriate histologic definition of Barrett's esopha...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000000424

    authors: Bandla S,Peters JH,Ruff D,Chen SM,Li CY,Song K,Thoms K,Litle VR,Watson T,Chapurin N,Lada M,Pennathur A,Luketich JD,Peterson D,Dulak A,Lin L,Bass A,Beer DG,Godfrey TE,Zhou Z

    更新日期:2014-07-01 00:00:00

  • Molecules, cancer, and the surgeon. A review of molecular biology and its implications for surgical oncology.

    abstract::Interactions between molecules control intra- and intercellular physiology. Cancer is emerging as a disease in which individual molecules are either overproduced, mutated, expressed at inappropriate stages of development, or lost due to inheritance or aberrant mitotic division. The major players in this contest of cel...

    journal_title:Annals of surgery

    pub_type: 杂志文章,评审

    doi:10.1097/00000658-199007000-00002

    authors: Arbeit JM

    更新日期:1990-07-01 00:00:00

  • Total pancreatectomy with preservation of the duodenum and pylorus for chronic pancreatitis.

    abstract::In an effort to minimize the nutritional complications that follow resection of the pancreas for severe chronic pancreatitis, the authors have performed a duodenum-preserving total pancreatectomy in eight patients for severe unremitting pain requiring large doses of opiate analgesia. Good relief of pain was obtained i...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199111000-00007

    authors: Easter DW,Cuschieri A

    更新日期:1991-11-01 00:00:00

  • Use of abdominal ultrasonography to assess pediatric splenic trauma. Potential pitfalls in the diagnosis.

    abstract:OBJECTIVE:The purpose of this study was to evaluate the accuracy of abdominal ultrasonography (US) for screening and grading pediatric splenic injury. SUMMARY BACKGROUND DATA:The use of abdominal US has increased rapidly as a method of evaluating organ damage after blunt abdominal trauma. Despite US's increasing use, ...

    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/00000658-199704000-00010

    authors: Krupnick AS,Teitelbaum DH,Geiger JD,Strouse PJ,Cox CS,Blane CE,Polley TZ

    更新日期:1997-04-01 00:00:00

  • Adult living donor liver transplantation for patients with hepatocellular carcinoma: extending UNOS priority criteria.

    abstract:INTRODUCTION:For patients with hepatocellular carcinoma (HCC) in particular, living donor liver transplant (LDLT) improves access to transplant. We report our results in 36 patients with HCC who underwent LDLT with a median follow-up >1 year. METHODS Underlying diagnoses included: hepatitis C (24), hepatitis B (9), cry...

    journal_title:Annals of surgery

    pub_type: 评论,杂志文章

    doi:10.1097/01.sla.0000109022.32391.eb

    authors: Gondolesi GE,Roayaie S,Muñoz L,Kim-Schluger L,Schiano T,Fishbein TM,Emre S,Miller CM,Schwartz ME

    更新日期:2004-02-01 00:00:00

  • Adhesion prevention during laparotomy: long-term follow-up of a randomized clinical trial.

    abstract:OBJECTIVE:The objective of the study was to determine the long-term effect of the use of a hyaluronic acid-carboxymethylcellulose membrane (Seprafilm) on the incidence of adhesions and subsequent small-bowel obstruction and chronic abdominal complaints after colorectal surgery (Hartmann's procedure). BACKGROUND:Adhesi...

    journal_title:Annals of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/SLA.0b013e318217e99c

    authors: van der Wal JB,Iordens GI,Vrijland WW,van Veen RN,Lange J,Jeekel J

    更新日期:2011-06-01 00:00:00

  • Paradigm shift in the management of gastroesophageal reflux disease.

    abstract:OBJECTIVE:To compare the short-term results of the radiofrequency treatment of the gastroesophageal junction known as the Stretta procedure versus laparoscopic fundoplication (LF) in patients with gastroesophageal reflux disease (GERD). SUMMARY BACKGROUND DATA:The Stretta procedure has been shown to be safe, well tole...

    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.SLA.0000064358.25509.36

    authors: Richards WO,Houston HL,Torquati A,Khaitan L,Holzman MD,Sharp KW

    更新日期:2003-05-01 00:00:00

  • Surgery in Zollinger-Ellison syndrome alters the natural history of gastrinoma.

    abstract:OBJECTIVE:The authors assessed the impact of gastrinoma resection on the subsequent development of hepatic metastases in Zollinger-Ellison syndrome. SUMMARY BACKGROUND DATA:The symptoms of acid hypersecretion can be controlled medically in Zollinger-Ellison syndrome with high-dose pharmacologic therapy. The current ro...

    journal_title:Annals of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1097/00000658-199409000-00008

    authors: Fraker DL,Norton JA,Alexander HR,Venzon DJ,Jensen RT

    更新日期:1994-09-01 00:00:00

  • Studies in fetal wound healing. V. A prolonged presence of hyaluronic acid characterizes fetal wound fluid.

    abstract::Midgestation fetal wound healing is characterized by healing without fibrosis or scar formation. The mechanisms that underlie this remarkable process are mediated in part through a fetal wound extracellular matrix rich in hyaluronic acid. In this study a newly developed assay was used to determine the hyaluronic acid ...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199104000-00003

    authors: Longaker MT,Chiu ES,Adzick NS,Stern M,Harrison MR,Stern R

    更新日期:1991-04-01 00:00:00

  • Metabolic consequences from conversion of jejunoileal bypass to gastric bypass.

    abstract::Conversion of jejunoileal bypass to gastric bypass was performed in 11 patients because of metabolic problems and physical discomforts, and in three patients because of insufficient weight loss. There was no mortality and little morbidity after operation. An additional mean weight loss of 6% occurred, and weight stabi...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-198211000-00007

    authors: Ackerman NB

    更新日期:1982-11-01 00:00:00

  • A simple test to identify coarctation of the aorta.

    abstract::Despite the widespread recognition of coartation of the aorta there are still many patients in whome the diagnosis is not made. A simple clinical test which is useful in making the diagnosis in infants and adults, is described. It depends upon the differential color changes between fingers and toes after releasing a m...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-197611000-00014

    authors: Gerbode F

    更新日期:1976-11-01 00:00:00

  • Multi-institution Evaluation of Adherence to Comprehensive Postoperative VTE Chemoprophylaxis.

    abstract:OBJECTIVES:The aims of this study were to: (1) measure the rate of failure to provide defect-free postoperative venous thromboembolism (VTE) chemoprophylaxis, (2) identify reasons for failure to provide defect-free VTE chemoprophylaxis, and (3) examine patient- and hospital-level factors associated with failure. SUMMA...

    journal_title:Annals of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1097/SLA.0000000000003124

    authors: Yang AD,Hewitt DB,Blay E Jr,Kreutzer LJ,Quinn CM,Cradock KA,Prachand V,Bilimoria KY,Illinois Surgical Quality Improvement Collaborative (ISQIC).

    更新日期:2020-06-01 00:00:00

  • Management of Five Hundred Patients With Gut Failure at a Single Center: Surgical Innovation Versus Transplantation With a Novel Predictive Model.

    abstract:OBJECTIVE(S):To define the evolving role of integrative surgical management including transplantation for patients gut failure (GF). METHODS:A total of 500 patients with total parenteral nutrition-dependent catastrophic and chronic GF were referred for surgical intervention particularly transplantation and comprised t...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/SLA.0000000000003523

    authors: Abu-Elmagd KM,Armanyous SR,Fujiki M,Parekh NR,Osman M,Scalish M,Newhouse E,Fouda Y,Lennon E,Shatnawei A,Kirby D,Steiger E,Khanna A,Radhakrishnan K,Quintini C,Hashimoto K,Barnes J,Costa G

    更新日期:2019-10-01 00:00:00

  • Repeat hepatic surgery for colorectal cancer metastasis to the liver.

    abstract:OBJECTIVE:The authors addressed whether a repeat hepatic operation is warranted in patients with recurrent isolated hepatic metastases. Are the results as good after second operation as after first hepatic operation? SUMMARY BACKGROUND DATA:Five-year survival after initial hepatic operation for colorectal metastases i...

    journal_title:Annals of surgery

    pub_type: 杂志文章

    doi:10.1097/00000658-199606000-00015

    authors: Pinson CW,Wright JK,Chapman WC,Garrard CL,Blair TK,Sawyers JL

    更新日期:1996-06-01 00:00:00