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

Emily Fletcher, Erica Seabold, Karen Herzing, Ronald Markert, Alyssa Gans, Akpofure Peter Ekeh
DOI: 10.1136/tsaco-2019-000312 Published 13 September 2019
Emily Fletcher
Department of Surgery, Wright State Physicians, Dayton, Ohio, USA
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Erica Seabold
Department of Surgery, Wright State Physicians, Dayton, Ohio, USA
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Karen Herzing
Department of Surgery, Wright State Physicians, Dayton, Ohio, USA
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Ronald Markert
Department of Surgery, Wright State Physicians, Dayton, Ohio, USA
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Alyssa Gans
Department of Surgery, Wright State Physicians, Dayton, Ohio, USA
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Akpofure Peter Ekeh
Department of Surgery, Wright State Physicians, Dayton, Ohio, USA
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Article Figures & Data

Tables

  • Table 1

    Demographic and perioperative characteristics for 547 laparoscopic cholecystectomy patients

    Gender, female, % (n)70.2 (384)
    Age, years, mean±SD46.1±18.1
    BMI, kg/m2, mean±SD32.4±7.8
    Operative indication % (n) 
     Acute cholecystitis43.3 (237)
     Symptomatic cholelithiasis28.9 (158)
     Chronic cholecystitis8.6 (47)
     Gallstone pancreatitis5.7 (31)
     Choledocholithiasis4.9 (27)
     Biliary dyskinesia3.8 (21)
     Other*4.8 (26)
    Attending surgeon level of experience, % (n) 
     <5 years8.0 (44)
     5–10 years8.6 (47)
     >10 years83.4 (456)
    Time of day of operation, % (n) 
     Daytime (07:00–19:00)94.3 (516)
     After hours (19:01–06:59)5.7 (31)
    Length of operation, min, mean±SD77.9±50.2
    • *Other indications included gangrene, cholangitis, gallbladder polyp, pain.

  • Table 2

    Complications for 547 laparoscopic cholecystectomy patients

    Complications, % (n)
    Bile leak3.8 (21)
    Infection3.8 (21)
    Retained gallstone1.1 (6)
    Other organ injury1.1 (6)
    Postoperative bleeding0.9 (5)
    Major biliary injury0.9 (5)
    Mortality, % (n)0.004 (2)
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Laparoscopic cholecystectomy in the Acute Care Surgery model: risk factors for complications
Emily Fletcher, Erica Seabold, Karen Herzing, Ronald Markert, Alyssa Gans, Akpofure Peter Ekeh
Trauma Surg Acute Care Open Sep 2019, 4 (1) e000312; DOI: 10.1136/tsaco-2019-000312

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Laparoscopic cholecystectomy in the Acute Care Surgery model: risk factors for complications
Emily Fletcher, Erica Seabold, Karen Herzing, Ronald Markert, Alyssa Gans, Akpofure Peter Ekeh
Trauma Surg Acute Care Open Sep 2019, 4 (1) e000312; DOI: 10.1136/tsaco-2019-000312
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Laparoscopic cholecystectomy in the Acute Care Surgery model: risk factors for complications
Emily Fletcher, Erica Seabold, Karen Herzing, Ronald Markert, Alyssa Gans, Akpofure Peter Ekeh
Trauma Surgery & Acute Care Open Sep 2019, 4 (1) e000312; DOI: 10.1136/tsaco-2019-000312
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