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首页> 外文期刊>World Journal of Emergency Surgery >Cholecystectomy for acute cholecystitis. How time-critical are the so called “golden 72?hours”? Or better “golden 24?hours” and “silver 25–72 hour”? A case control study
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Cholecystectomy for acute cholecystitis. How time-critical are the so called “golden 72?hours”? Or better “golden 24?hours” and “silver 25–72 hour”? A case control study

机译：胆囊切除术用于急性胆囊炎。所谓的“黄金72小时”有多关键？还是更好的“黄金24小时”和“银色25-72小时”？病例对照研究

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Introduction Early cholecystectomy within 72?hours has been shown to be superior to late or delayed cholecystectomy with regard to outcome and cost of treatment. Recently, immediate cholecystectomy within 24?hours of onset of symptom was proposed as standard procedure for the management of fit patients presenting with acute cholecystitis. We sort to find out if there are any differences in surgical outcomes between patients managed within 24?h and those managed 25-72?h following symptom begin for acute cholecystitis. Patients and methods A retrospective analysis was performed. The outcomes of patients undergoing laparoscopic cholecystectomy within 24?h were compared to those of patients managed 25-72?h following symptom onset for acute cholecystitis. Results 35 patients managed 25-72?h following begin of symptoms were matched with 35 patients with similar baseline features, medical comorbidities and disease severity managed within 24?hours of symptom onset. There were no significant differences in the duration of surgery, postoperative complications, rate of conversion and length of hospital stay. Conclusion Immediate laparoscopic cholecystectomy for acute cholecystitis within 24?hour of symptom onset is not superior to surgery 25–72 hour after symptoms begin. Laparoscopic cholecystectomy for acute cholecystitis therefore can be safely performed anytime within the golden 72?h.
机译：前言在结果和治疗费用方面，在72小时内进行早期胆囊切除术优于晚期或延迟胆囊切除术。最近，有人提出在症状发作后24小时内立即进行胆囊切除术，作为管理适合的急性胆囊炎患者的标准程序。我们整理一下，在急性胆囊炎开始出现症状后24小时内与25-72小时治疗后的患者手术结局之间是否存在差异。患者和方法进行回顾性分析。将在24小时内进行腹腔镜胆囊切除术的患者的结果与急性胆囊炎症状发作后25-72µh处理的患者的结果进行比较。结果35例在症状发作后25-72h内接受治疗的患者与35例在症状发作后24小时内具有相似基线特征，医疗合并症和疾病严重程度的患者相匹配。手术时间，术后并发症，转换率和住院时间无明显差异。结论在症状发作后24小时内立即进行腹腔镜胆囊切除术治疗急性胆囊炎并不优于手术。因此，腹腔镜胆囊切除术治疗急性胆囊炎可以在黄金时段72小时内随时安全地进行。

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