Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board

>Journals >Multimed >Year 2017, Issue 6

Núñez SRA, Ramos SAE, Oliva PG, Salgado SG, Ramos SRÁ
Comparison of laparoscopic cholecystectomy versus conventional cholecystectomy in acute cholecystitis
Mul Med 2017; 21 (6)

Language: Español
References: 14
Page: 819-829
PDF: 67.99 Kb.

Full text


A comparison of laparoscopic cholecystectomy versus conventional cholecystectomy with the objective of comparing costs, morbidity and mortality between the two declared procedures, level I of evidence studies were taken as reference. It was performed a bibliographic search in medical databases on acute cholecystitis with level I of evidence, there were included results of complications, costs and mortality as comparison indexes between the procedures in acute cholecystectomy through a lineal logistic regression model and it was defined the level of statistical significance 95 %. It was verified that although direct costs could be higher in laparoscopic cholecystectomy, total costs are higher in conventional cholecystectomy including more complications possibilities and mortality. It was concluded that laparoscopic surgery brings economic and health benefits in relation with conventional surgery in cases of acute cholecystitis.

Key words: laparoscopic cholecystectomy, cholecystectomy, acute cholecystitis, health care costs.


  1. Yamashita Y, Takada T, Strasberg SM, Pitt HA, Gouma DJ, Garden OJ, et al. TG13 surgical management of acute cholecystitis. J. Hepatobiliary Pancreat Sci [Internet]. 2013 [citado 16 Mar 2017]; 20(1):89–96. Disponible en: http://onlinelibrary.wiley.com/doi/10.1007/s00534-012-0567-x/pdf.

  2. Igami T, Aoba T, Ebata T, Yokayama Y, Sugawara G, Nagino N. Single-incision laparoscopic cholecystectomy for cholecystitis requiring perctaneous transhepatic gallbladder drainage. Surg Today [Internet]. 2015 [citado 16 Mar 2017]; 45(3):305–9. Disponible en: https://link.springer.com/article/10.1007%2Fs00595-014-1003-4.

  3. Yokoe M, Takada T, Strasberg SM, Solomkin JS, Mayumi T, Gomi H, et al. TG13 diagnostic criteria and severity grading of acute cholecystitis. J. Hepatobiliary Pancreat Sci [Internet]. 2013 [citado 16 Mar 2017]; 20(1):35–46. Disponible en: http://onlinelibrary.wiley.com/doi/10.1007/s00534-012-0568-9/pdf.

  4. Tajima Y, Kuroki T, Kitasato A, Adachi T, Kosaka T, Okamoto T, et al. Prediction and management of a low-lying costal arch which restricts the operative working space during laparoscopic cholecystectomy. J Hepatobiliary Pancreat Sci [Internet]. 2011 [citado 16 Mar 2017]; 18(1):60–66. Disponible en: http://onlinelibrary.wiley.com/doi/10.1007/s00534-010-0309-x/pdf.

  5. Zakko FS, Afdhal NH, Chopra S, Travis AC. Pathogenesis clinical features, and diagnosis of acute cholecystitis [Internet]. 2011 [citado 16 Mar 2017]. Disponible en: http://cursoenarm.net/UPTODATE/contents/mobipreview.htm?9/7/9328?source=see_link.

  6. Yamazaki M, Yasuda H, Koda K. Single-incision laparoscopic cholecystectomy: a systematic review of methodology and outcomes. Surg Today [Internet]. 2015 [citado 16 Mar 2017];45(5):537–548. Disponible en: https://link.springer.com/article/10.1007%2Fs00595-014-0908-2.

  7. Salinas Escudero G, Zurita Saldana VR, Hernández Garduno AG, Padilla Zarate MP, Gutiérrez Vega R; Sastré N, et al. Costos directos de colecistectomía, abierta y laparoscópica. Rev Med Inst Mex Seguro Soc [Internet]. 2011. Jul-Aug [citado 16 Mar 2017]; 49(4):353-60. Disponible en: http://www.medigraphic.com/pdfs/imss/im-2011/im114b.pdf.

  8. Miura F, Takada T, Kawarada Y, Nimura Y, Wada K, Hirota M, et al. Flowcharts for the diagnosis and treatment of acute cholangitis and cholecystitis. Tokyo Guidelines. J Hepatobiliary Pancreat Surg [Internet]. 2007 January [citado 16 Mar 2017]; 14(1): 27-34. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2784508/pdf/534_2006_Article_1153.pdf.

  9. Sánchez Carrasco M, Rodríguez Sanjuán JC, Martín Acebes F, Llorca Díaz FJ, Gómez Fleitas M, Zambrano Muñoz R, et al. Evaluation of Early Cholecystectomy versus Delayed Cholecystectomy in the Treatment of Acute Cholecystitis. HPB Surg [Internet]. 2016 [citado 16 Mar 2017]; 2016:4614096. Disponible en: https://www.hindawi.com/journals/hpb/2016/4614096/.

  10. Poddighe D, Cagnoli G, Mastricci N, Bruni P. Acute acalculous cholecystitis associated with severe EBV BMJ Case Rep [Internet]. 2014 [citado 16 Mar 2017]; (2014): bcr2013201166. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3902339/.

  11. Lada PE, Forez F, Janikov C, Mariot D, Sanchez Tassone C, Massa M. Mini-laparoscopy vs. laparoscopy for the gallblader stone treatment. Prospective and comparative study. Rev Fac Cien Med Univ Nac Cordoba. 2015; 72(3):152-60.

  12. Kartal K, Uludag M. Can 4-port laparoscopic cholecystectomy remain the gold standard for gallbladder surgery? Ann Ital Chir. 2016; 87:13-7.

  13. Estándares de Acreditación de hospitales de Joint Comission International [Internet]. 5ª ed. 2014 [citado 16 Mar 2017]. Disponible en: https://www.jcrinc.com/assets/1/14/EBJCIH14S_Sample_Pages.pdf.

  14. Zacks SL, Sandler RS, Rutledge R, Brovnn RS Jr. A population-based cohort study comparing lapiroscopic cholecystectomy and open cholecystectomy. Am J Gastroenterol [Internet]. 2002 Feb [citado 16 Mar 2017]; 97(2):334-40. Disponible en: https://www.nature.com/articles/ajg200286.

>Journals >Multimed >Year 2017, Issue 6

· Journal Index 
· Links 

Copyright 2019