Retrospective Study
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Dec 28, 2019; 25(48): 6916-6927
Published online Dec 28, 2019. doi: 10.3748/wjg.v25.i48.6916
Operative complications and economic outcomes of cholecystectomy for acute cholecystitis
Christopher P Rice, Krishnamurthy B Vaishnavi, Celia Chao, Daniel Jupiter, August B Schaeffer, Whitney R Jenson, Lance W Griffin, William J Mileski
Christopher P Rice, Krishnamurthy B Vaishnavi, August B Schaeffer, School of Medicine, University of Texas Medical Branch, Galveston, TX 77555, United States
Celia Chao, Whitney R Jenson, Lance W Griffin, William J Mileski, Department of Surgery, University of Texas Medical Branch, Galveston, TX 77555, United States
Daniel Jupiter, Department of Preventive Medicine and Community Health, Department of Biostatistics, University of Texas Medical Branch, Galveston, TX 77555, United States
Author contributions: Rice CP, Vaishnavi KB, Chao C, Jenson WR, Griffin LW and Mileski WJ contributed to the conception and design of the study; Rice CP, Vaishnavi KB, Chao C and Jenson WR assisted with data acquisition; Rice CP, Chao C, Jupiter D and Mileski WJ analyzed and interpreted the data obtained; Rice CP, Chao C, Schaeffer AB, Jupiter D and Mileski WJ drafted the article and/or made critical revisions related to important intellectual content of the manuscript; all authors contributed to the proof-reading and final approval of the version of the article to be published.
Institutional review board statement: This study was approved by the UTMB Institutional Review Board, No. 18-0042.
Informed consent statement: This manuscript is a retrospective study, therefore, signed informed consent forms are not necessary.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: William J Mileski, MD, FACS, Chief Doctor, Professor, Surgeon, Division of Trauma and Acute Care Surgery, Department of Surgery, University of Texas Medical Branch; 301 University Boulevard, Galveston, TX 77555, United States. wmileski@utmb.edu
Received: November 4, 2019
Peer-review started: November 4, 2019
First decision: December 12, 2019
Revised: December 17, 2019
Accepted: December 22, 2019
Article in press: December 22, 2019
Published online: December 28, 2019
Core Tip

Core tip: Patients presenting with acute cholecystitis (Tokyo Grade 2) have more complications and increased hospital charges when undergoing same admission cholecystectomy. This data supports a selective approach; greater disease severity may have a lower complication rate when surgery is delayed.