Subscribe to RSS
DOI: 10.1055/s-0041-1730408
Cholecystectomy during COVID-19: A Single-Center Experience
Funding None.Abstract
COVID-19 pandemic has impacted health care globally with restructuring and prioritization of health care services. We prospectively analyzed 104 patients who underwent laparoscopic cholecystectomy during the peak of COVID-19 in 2020 and compared with 217 patients from the same period in 2019. Emergency admissions constituted majority of cases with no statistical difference between both groups (p = 0.49). Most cholecystectomies were for biliary colic (41.3 vs. 35.5%) and cholecystitis (37.5 vs. 43.8%) without any statistically difference (p = 0.31 and p = 0.29, respectively). This study demonstrates that laparoscopic cholecystectomy was feasible and safe in patients with symptomatic gall bladder disease during the peak period for COVID-19.
Presentation at a Meeting
None.
Publication History
Received: 17 December 2020
Accepted: 06 April 2021
Article published online:
31 May 2021
© 2021. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Søreide K, Hallet J, Matthews JB. et al. Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services. Br J Surg 2020; 107 (10) 1250-1261
- 2 Al-Jabir A, Kerwan A, Nicola M. et al. Impact of the coronavirus (COVID-19) pandemic on surgical practice - Part 1. Int J Surg 2020; 79: 168-179
- 3 Al-Jabir A, Kerwan A, Nicola M. et al. Impact of the coronavirus (COVID-19) pandemic on surgical practice - Part 2 (surgical prioritisation). Int J Surg 2020; 79: 233-248
- 4 de Mestral C, Rotstein OD, Laupacis A. et al. Comparative operative outcomes of early and delayed cholecystectomy for acute cholecystitis: a population-based propensity score analysis. Ann Surg 2014; 259 (01) 10-15
- 5 Keus F, de Jong JA, Gooszen HG, van Laarhoven CJ. Laparoscopic versus open cholecystectomy for patients with symptomatic cholecystolithiasis. Cochrane Database Syst Rev 2006; (04) CD006231
- 6 Shikata S, Noguchi Y, Fukui T. Early versus delayed cholecystectomy for acute cholecystitis: a meta-analysis of randomized controlled trials. Surg Today 2005; 35 (07) 553-560
- 7 Siddiqui T, MacDonald A, Chong PS, Jenkins JT. Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: a meta-analysis of randomized clinical trials. Am J Surg 2008; 195 (01) 40-47
- 8 Kolla SB, Aggarwal S, Kumar A. et al. Early versus delayed laparoscopic cholecystectomy for acute cholecystitis: a prospective randomized trial. Surg Endosc 2004; 18 (09) 1323-1327
- 9 Gutt CN, Encke J, Köninger J. et al. Acute cholecystitis: early versus delayed cholecystectomy, a multicenter randomized trial (ACDC study, NCT00447304). Ann Surg 2013; 258 (03) 385-393
- 10 Gul R, Dar RA, Sheikh RA, Salroo NA, Matoo AR, Wani SH. Comparison of early and delayed laparoscopic cholecystectomy for acute cholecystitis: experience from a single center. N Am J Med Sci 2013; 5 (07) 414-418
- 11 Gurusamy KS, Samraj K. Early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Cochrane Database Syst Rev 2006; (04) CD005440
- 12 Cheruvu CV, Eyre-Brook IA. Consequences of prolonged wait before gallbladder surgery. Ann R Coll Surg Engl 2002; 84 (01) 20-22
- 13 Agrawal S, Battula N, Barraclough L, Durkin D, Cheruvu CV. Early laparoscopic cholecystectomy service provision is feasible and safe in the current UK National Health Service. Ann R Coll Surg Engl 2009; 91 (08) 660-664
- 14 De Simone B, Chouillard E, Di Saverio S. et al. Emergency surgery during the COVID-19 pandemic: what you need to know for practice. Ann R Coll Surg Engl 2020; 102 (05) 323-332
- 15 Gallstone Disease: Diagnosis and Management Clinical Guideline. 2014 [cited October 31, 2020]. Accessed April 30, 2021 at: www.nice.org.uk/guidance/cg188
- 16 Mattone E, Sofia M, Schembari E. et al. Acute acalculous cholecystitis on a COVID-19 patient: a case report. Ann Med Surg (Lond) 2020; 58: 73-75
- 17 Report of an Iranian COVID-19 Case in a Laparoscopic Cholecystectomy Patient: Case Report and Insights. 2020 [cited November 28, 2020]. Accessed April 30, 2021 at: https://www.researchsquare.com/article/rs-25302/v1
- 18 Asti E, Lovece A, Bonavina L. Gangrenous cholecystitis during hospitalization for SARS-CoV2 infection. Updates Surg 2020; 72 (03) 917-919