{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T15:07:51Z","timestamp":1777907271689,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2021,6,24]],"date-time":"2021-06-24T00:00:00Z","timestamp":1624492800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:p>Although laparoscopic cholecystectomy is the gold standard treatment for acute cholecystitis, many Caribbean surgeons are reluctant to operate during the acute attack. We collected data for all consecutive patients who underwent laparoscopic cholecystectomy for acute cholecystitis from January 1 to 31 December 2018. Delayed cholecystectomy was done &gt;6\u00a0weeks after acute cholecystitis settled. We compared data between early and delayed groups. Delayed laparoscopic cholecystectomy was performed in 54 patients, and 42 had early laparoscopic cholecystectomy. Delayed surgery resulted in significantly more complications requiring readmission (39% vs 0), longer operations (2.27 vs 0.94\u2009h) and lengthier post-operative hospitalisation (1.84 vs 1.1 days). Caribbean hospitals should abandon the practice of delayed surgery after cholecystitis has settled. Early laparoscopic cholecystectomy would be financially advantageous for our institutions, and it would save patients recurrent attacks of gallstone disease.<\/jats:p>","DOI":"10.1177\/00494755211010002","type":"journal-article","created":{"date-parts":[[2021,6,24]],"date-time":"2021-06-24T04:34:00Z","timestamp":1624509240000},"page":"539-541","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Time to abandon the old dictum of delayed laparoscopic cholecystectomy after acute cholecystitis has settled in Caribbean practice"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3377-0303","authenticated-orcid":false,"given":"Shamir O","family":"Cawich","sequence":"first","affiliation":[{"name":"Professor of Liver and Pancreas Surgery, Department of Surgery, Port of Spain General Hospital, Port of Spain, Trinidad & Tobago, West Indies"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Avidesh H","family":"Mahabir","sequence":"additional","affiliation":[{"name":"Surgery House Officer, Department of Surgery, Port of Spain General Hospital, Port of Spain, Trinidad & Tobago, West Indies"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sahle","family":"Griffith","sequence":"additional","affiliation":[{"name":"Consultant General Surgeon, Department of Surgery, Queen Elizabeth Hospital, Bridgetown, Barbados, West Indies"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"FaSiOen","sequence":"additional","affiliation":[{"name":"Consultant General Surgeon, Department of Surgery, Sint Elizabeth Hospital, Curacao, Dutch Caribbean"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vijay","family":"Naraynsingh","sequence":"additional","affiliation":[{"name":"Professor of Surgery, Department of Surgery, Port of Spain General Hospital, Port of Spain, Trinidad & Tobago, West Indies"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,6,24]]},"reference":[{"key":"bibr1-00494755211010002","first-page":"CD005440","volume":"6","author":"Gurusamy KS","year":"2013","journal-title":"Cochr Datab Syst Rev"},{"key":"bibr2-00494755211010002","doi-asserted-by":"publisher","DOI":"10.1111\/hpb.12449"},{"key":"bibr3-00494755211010002","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6400-0"},{"key":"bibr4-00494755211010002","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6870"},{"key":"bibr5-00494755211010002","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S89724"},{"key":"bibr6-00494755211010002","first-page":"54","volume":"61","author":"Cawich SO","year":"2012","journal-title":"West Ind Med J"},{"key":"bibr7-00494755211010002","doi-asserted-by":"publisher","DOI":"10.7812\/TPP\/12-117"},{"key":"bibr8-00494755211010002","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2014.06.006"},{"key":"bibr9-00494755211010002","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9886"},{"key":"bibr10-00494755211010002","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000017429"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755211010002","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00494755211010002","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00494755211010002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:33:15Z","timestamp":1777642395000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00494755211010002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,24]]},"references-count":10,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2021,10]]}},"alternative-id":["10.1177\/00494755211010002"],"URL":"https:\/\/doi.org\/10.1177\/00494755211010002","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,24]]}}}