Filler POEM

Early surgery for acute calculous cholecystitis is better than delayed

BMJ 2004; 329 doi: http://dx.doi.org/10.1136/bmj.329.7472.0-f (Published 21 October 2004) Cite this as: BMJ 2004;329:0-f

Question For patients with acute calculous cholecystitis, is it better to do surgery immediately or let them “cool off” first?

Synopsis The decision to perform open or laparoscopic surgery on patients with acute calculous cholecystitis, and whether that surgery is done during the initial hospital admission or later, after symptoms have “cooled down,” seems to depend largely on the surgeon. This meta-analysis with uncertain allocation, identified all available prospective randomised trials on the topic to try to provide a more solid evidence …

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