{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T15:31:53Z","timestamp":1783006313142,"version":"3.54.5"},"reference-count":58,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2015,8,12]],"date-time":"2015-08-12T00:00:00Z","timestamp":1439337600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,9,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Previous studies comparing early laparoscopic cholecystectomy (ELC) with delayed laparoscopic cholecystectomy (DLC) for acute cholecystitis were incomplete. A meta-analysis was undertaken to compare the cost-effectiveness, quality of life, safety and effectiveness of ELC versus DLC.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>PubMed, Embase, the Cochrane Library and Web of Science were searched for randomized clinical trials (RCTs) that compared ELC (performed within 7 days of symptom onset) with DLC (undertaken at least 1 week after symptoms had subsided) for acute cholecystitis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Sixteen studies reporting on 15 RCTs comprising 1625 patients were included. Compared with DLC, ELC was associated with lower hospital costs, fewer work days lost (mean difference (MD) \u201311\u00b707 (95 per cent c.i. \u201316\u00b721 to \u22125\u00b794) days; P &amp;lt; 0\u00b7001), higher patient satisfaction and quality of life, lower risk of wound infection (relative risk 0\u00b765, 95 per cent c.i. 0\u00b747 to 0\u00b791; P = 0\u00b701) and shorter hospital stay (MD \u22123\u00b738 (\u22124\u00b723 to \u22122\u00b752) days; P &amp;lt; 0\u00b7001), but a longer duration of operation (MD 11\u00b712 (4\u00b757 to 17\u00b767) min; P &amp;lt; 0\u00b7001). There were no significant differences between the two groups in mortality, bile duct injury, bile leakage, conversion to open cholecystectomy or overall complications.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>For patients with acute cholecystitis, ELC appears as safe and effective as DLC. ELC might be associated with lower hospital costs, fewer work days lost, and greater patient satisfaction.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.9886","type":"journal-article","created":{"date-parts":[[2015,8,12]],"date-time":"2015-08-12T09:48:12Z","timestamp":1439372892000},"page":"1302-1313","source":"Crossref","is-referenced-by-count":128,"title":["Meta-analysis comparing early <i>versus<\/i> delayed laparoscopic cholecystectomy for acute cholecystitis"],"prefix":"10.1093","volume":"102","author":[{"given":"X -D","family":"Wu","sequence":"first","affiliation":[{"name":"First College of Clinical Medicine, Chongqing Medical University, Chongqing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"X","family":"Tian","sequence":"additional","affiliation":[{"name":"Graduate College of Tianjin University of Traditional Chinese Medicine, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M -M","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine, Shandong University, Jinan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Wu","sequence":"additional","affiliation":[{"name":"Center for Clinical and Translational Science, Mayo Clinic, Rochester, Minnesota, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Zhao","sequence":"additional","affiliation":[{"name":"Graduate College of Tianjin University of Traditional Chinese Medicine, Tianjin, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Graduate School, Guangxi Medical University, Nanning, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2015,8,12]]},"reference":[{"key":"2021021715580128600_bjs9886-bib-0001","doi-asserted-by":"crossref","first-page":"2804","DOI":"10.1056\/NEJMcp0800929","article-title":"Clinical practice. 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