Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Observational Study
. 2024 Mar 21;19(1):12.
doi: 10.1186/s13017-024-00539-6.

Textbook outcome in urgent early cholecystectomy for acute calculous cholecystitis: results post hoc of the S.P.Ri.M.A.C.C study

Paola Fugazzola  1 , Silvia Carbonell-Morote #  2   3   4 , Lorenzo Cobianchi  1   5 , Federico Coccolini  6 , Juan Jesús Rubio-García  7   8 , Massimo Sartelli  9   10 , Walter Biffl  11 , Fausto Catena  12 , Luca Ansaloni  1   5 , Jose Manuel Ramia #  7   8   13 ; S.P.Ri.M.A.C.C. Collaborative Group
Collaborators, Affiliations
Observational Study

Textbook outcome in urgent early cholecystectomy for acute calculous cholecystitis: results post hoc of the S.P.Ri.M.A.C.C study

Paola Fugazzola et al. World J Emerg Surg. .

Abstract

Introduction: A textbook outcome patient is one in which the operative course passes uneventful, without complications, readmission or mortality. There is a lack of publications in terms of TO on acute cholecystitis.

Objetive: The objective of this study is to analyze the achievement of TO in patients with urgent early cholecystectomy (UEC) for Acute Cholecystitis. and to identify which factors are related to achieving TO.

Materials and methods: This is a post hoc study of the SPRiMACC study. It´s a prospective multicenter observational study run by WSES. The criteria to define TO in urgent early cholecystectomy (TOUEC) were no 30-day mortality, no 30-day postoperative complications, no readmission within 30 days, and hospital stay ≤ 7 days (75th percentile), and full laparoscopic surgery. Patients who met all these conditions were taken as presenting a TOUEC.

Outcomes: 1246 urgent early cholecystectomies for ACC were included. In all, 789 patients (63.3%) achieved all TOUEC parameters, while 457 (36.6%) failed to achieve one or more parameters and were considered non-TOUEC. The patients who achieved TOUEC were younger had significantly lower scores on all the risk scales analyzed. In the serological tests, TOUEC patients had lower values for in a lot of variables than non-TOUEC patients. The TOUEC group had lower rates of complicated cholecystitis. Considering operative time, a shorter duration was also associated with a higher probability of reaching TOUEC.

Conclusion: Knowledge of the factors that influence the TOUEC can allow us to improve our results in terms of textbook outcome.

Keywords: Acute cholecystitis; Benchmark; Early cholecystectomy; Morbidity; Textbook outcome.

PubMed Disclaimer

Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Textbook outcome in emergent cholecystectomy due to acute cholecystitis
See this image and copyright information in PMC

References

    1. Wakabayashi G, Iwashita Y, Hibi T, Takada T, Strasberg SM, Asbun HJ, et al. Tokyo Guidelines 2018: surgical management of acute cholecystitis: safe steps in laparoscopic cholecystectomy for acute cholecystitis (with videos). 2018; Available from: http://www.jshbps.jp/modules/en/index.php?content_id=47 - PubMed
    1. Kimura Y, Takada T, Kawarada Y, Nimura Y, Hirata K, Sekimoto M, Yoshida M, Mayumi T, Wada K, Miura F, Yasuda H. Definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis: Tokyo Guidelines. J Hepato-Biliary-Pancreatic Surg. 2007;14:15–26. doi: 10.1007/s00534-006-1152-y. - DOI - PMC - PubMed
    1. Keus F, De Jong JAF, Gooszen HG, Van Laarhoven CJHM. Laparoscopic versus open cholecystectomy for patients with symptomatic cholecystolithiasis. Cochrane Database Syst Rev. 2006 doi: 10.1002/14651858.CD006231. - DOI - PubMed
    1. Wiggins T, Markar SR, MacKenzie H, Faiz O, Mukherjee D, Khoo DE, Purkayastha S, Beckingham I, Hanna GB. Optimum timing of emergency cholecystectomy for acute cholecystitis in England: population-based cohort study. Surg Endosc. 2019;33(8):2495–2502. doi: 10.1007/s00464-018-6537-x. - DOI - PMC - PubMed
    1. Pisano M, Allievi N, Gurusamy K, Borzellino G, Cimbanassi S, Boerna D, et al. World society of emergency surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis. World J Emerg Surg. 2020;15(1):1–26. doi: 10.1186/s13017-020-00336-x. - DOI - PMC - PubMed

Publication types

LinkOut - more resources