This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS
Population‐based cohort study of outcomes following cholecystectomy for benign gallbladder diseases. BJS 2016; 103: 1704-1715.
Published: 26th August 2016
Authors: R. S. Vohra, S. Pasquali, A. J. Kirkham, P. Marriott, M. Johnstone, P. Spreadborough et al.
Background
The aim was to describe the management of benign gallbladder disease and identify characteristics associated with all‐cause 30‐day readmissions and complications in a prospective population‐based cohort.
Method
Data were collected on consecutive patients undergoing cholecystectomy in acute
Results
Data were collected on 8909 patients undergoing cholecystectomy from 167 hospitals. Some 1451 cholecystectomies (16·3 per cent) were performed as an emergency, 4165 (46·8 per cent) as elective operations, and 3293 patients (37·0 per cent) had had at least one previous emergency admission, but had surgery on a delayed basis. The readmission and complication rates at 30 days were 7·1 per cent (633 of 8909) and 10·8 per cent (962 of 8909) respectively. Both readmissions and complications were independently associated with increasing
Conclusion
Readmissions and complications following cholecystectomy are common and associated with patient and disease characteristics.
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