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Visceral Surgery – Cholecystitis & Appendicitis 02 2.1 Population-based analysis of 4126 patients with acute cholecystitis: defining the optimal time-point for laparoscopic cholecystectomy V. Banz, T. Gsponert, D. Candinas, U. Güller (Berne) Objective: Symptomatic gallstones represent an important health problem and laparoscopic cholecystectomy (LC) is the treatment of choice. Increasingly, the operation is also offered to patients with acute cholecystitis. However, the optimal time point for LC in the setting of acute inflammation remains a matter of great debate and is poorly defined. Therefore, the aim of this analysis is to compare clinical outcomes after LC for acute cholecystitis performed at various time points after initial symptom onset. Methods: The analysis was based on the prospective database of the Swiss Association of Laparoscopic and Thoracoscopic Surgery (FALTS). All patients undergoing emergency LC for acute cholecystitis between 1995 and 2006 were included. Patients were grouped according to different time points of LC since hospital admission (admission day, day 1, day 2, day 3, day 4/5, day ≥6). Outcomes (intraoperative complications, postoperative complications, conversion rate, rate of reoperation, length of hospital stay) across the groups were compared by means of Chi-squared and ANOVA. Results: Of 4126 patients included in our study, 53% were female, average age at operation was 58.8 years and the median ASA risk was II (range I – IV). Although there was only weak evidence that the rate of intraoperative complications changes over time (p=0.063), delaying LC resulted in a significantly higher conversion rate (increase from 12.5% on admission day to 30.6% after 6 and more days since admission, p
Page 1 and 2: Abstracts 97. Jahreskongress der Sc
Page 3 and 4: Der Jahreskongress der Chirurgische
Page 5: Abstracts Session Topic Page 02 Vis
Page 9 and 10: performed were recorded. Descriptiv
Page 11 and 12: avec délai dans le diagnostic, ang
Page 13 and 14: group (conventional: n=13, RS=1.8 +
Page 15 and 16: time-efficient all-in-one 3D visual
Page 17 and 18: (CHI=54 [6.49%]; SWI=27[4.98%]) wer
Page 19 and 20: Conclusion: Both procedures markedl
Page 21 and 22: 22.7 Transplantation of kidneys fro
Page 23 and 24: of the remaining 40 patients with a
Page 25 and 26: and 6/2009 and were prospectively f
Page 27 and 28: Conclusion: In our patient cohort,
Page 29 and 30: plantation. With the introduction o
Page 31 and 32: Results: SLN negative patients were
Page 33 and 34: Conclusion: This is the first study
Page 35 and 36: were grouped into four age groups a
Page 37 and 38: gain up to the 20 th procedure (Fig
Page 39 and 40: ��
Page 41 and 42: normal angiogenesis induced by cell
Page 43 and 44: 52.4 Sham-feeding of patients with
Page 45 and 46: Methods: Erfasst wurden Aggressions
Page 47 and 48: Conclusion: Pharmacological inhibit
Page 49 and 50: 54.19 Gene chip analysis of A20 exp
Page 51 and 52: 55.10 Optimized intrapleural cispla
Page 53 and 54: 62.7 Posttraumatic symptomatic cyst
Page 55 and 56: Conclusion: Only patients older 75
Page 57 and 58:
no sign of occlusion. No further th
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packing as part of damage control s
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sonalführung und werden auch in de
Page 63 and 64:
Figure 3 Figure 2 Figure 4 71.2 Tec
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formed 5 months later, again with a
Page 67 and 68:
99.16 3-D endo-stomal ultrasound (
Page 69 and 70:
tional recanalization. Conclusion:
Page 71 and 72:
99.37 Extended Clavien-Dindo classi
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ial colitis was excluded by stool c
Page 75 and 76:
99.55 Complexes de von Meyenburg(ha
Page 77 and 78:
99.64 Traumatic abdominal wall hern
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99.75 Isolated dorso-medial disloca
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FRAGMIN ® DER ERFAHRENE WEGGEFÄHR
Page 83 and 84:
Kalbermatten Daniel, PD Dr., CHUV C
Page 85 and 86:
Meyer Antoine, Dr., Hôpital canton
Page 87 and 88:
Covidien Switzerland Limited multip
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