{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,12]],"date-time":"2026-11-12T14:16:06Z","timestamp":1794492966081,"version":"4.9.1"},"reference-count":22,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:p>ABSTRACT Background: Surgical approach is still controversial in patients with acute cholecystitis: to treat clinically the inflammatory process and operate electively later or to operate immediately on an emergency basis? Aim: To test the hypothesis that urgent laparoscopic cholecystectomy in acute cholecystitis has a higher mortality than elective laparoscopic cholecystectomy. Methods: From the data available in Datasus, mortality was compared between patients undergoing elective laparoscopic cholecystectomy for cholelithiasis and in urgency. Calculations were made of the relative reduction in risk of death, absolute reduction of risk of death and number needed to treat. Results: From 2009 to 2014 in Brazil, there were 250.439 laparoscopic cholecystectomy and 74.6% were electives. Mortality in the emergency group was 4.8 times higher compared to the elective group (0.0023% vs. 0.00048%). Despite the relative reduction in risk of death (RRR) was 83%, in the calculation of absolute risk was found 0.0018 and number needed to treat of 55,555. Conclusions: Despite the relative risk reduction for mortality was high comparing elective vs. urgent basis, the absolute risk reduction was minimal, since this outcome is very low in both groups, suggesting that mortality should not have much influence on surgical decision.<\/jats:p>","DOI":"10.1590\/0102-6720201700010013","type":"journal-article","created":{"date-parts":[[2017,4,27]],"date-time":"2017-04-27T19:21:55Z","timestamp":1493320915000},"page":"47-50","source":"Crossref","is-referenced-by-count":9,"title":["MORTALITY OF URGENCY VERSUS ELECTIVE VIDEOLAPAROSCOPIC CHOLECYSTECTOMY FOR ACUTE CHOLECYSTITIS"],"prefix":"10.1590","volume":"30","author":[{"given":"Saulo Jos\u00e9 Oliveira","family":"FEL\u00cdCIO","sequence":"first","affiliation":[{"name":"Bahiana Medical School and Public Health, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ediriomar Peixoto","family":"MATOS","sequence":"additional","affiliation":[{"name":"Bahiana Medical School and Public Health, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio Maur\u00edcio","family":"CERQUEIRA","sequence":"additional","affiliation":[{"name":"Bahiana Medical School and Public Health, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kurt Wolfgang Schindler Freire de","family":"FARIAS","sequence":"additional","affiliation":[{"name":"Bahiana Medical School and Public Health, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramon de Assis","family":"SILVA","sequence":"additional","affiliation":[{"name":"Bahiana Medical School and Public Health, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mateus de Oliveira","family":"TORRES","sequence":"additional","affiliation":[{"name":"Bahiana Medical School and Public Health, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"issue":"1","key":"ref1","article-title":"Gender difference in elective laparoscopic cholecystectomy for chronic cholecystitis","volume":"19","author":"Ahmad Hiwa Umar","year":"2012","journal-title":"Basrah Journal of Surgery"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1136\/bmj.322.7278.91","article-title":"ABC of diseases of liver, pancreas, and biliary system-gallstone disease","volume":"322","author":"Beckingham IJ","year":"1901","journal-title":"BMJ"},{"issue":"2","key":"ref3","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1590\/S0102-67202014000200013","article-title":"Laparoscopic cholecystectomy versus minilaparotomy in cholelithiasis: systematic review and meta-analysis","volume":"27","author":"CASTRO Paula Marcela Vilela","year":"2014","journal-title":"ABCD, arq. bras. cir. dig"},{"issue":"4","key":"ref4","doi-asserted-by":"crossref","first-page":"472e6","DOI":"10.1002\/bjs.5984","article-title":"Management of acute gallbladder disease in England","volume":"95","author":"David GG","year":"2008","journal-title":"Br J Surg"},{"issue":"3","key":"ref5","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/0002-9610(89)90245-6","article-title":"The spectrum of biliary stone disease","volume":"158","author":"Hermann Robert E","journal-title":"The American Journal of Surgery"},{"issue":"1","key":"ref6","first-page":"CD006798","article-title":"Day-case versus overnight stay in laparoscopic cholecystectomy","author":"Gurusamy KS","year":"2008","journal-title":"Cochrane Database Syst Rev"},{"issue":"6","key":"ref7","first-page":"CD005440","article-title":"Early versus delayed laparoscopic cholecystectomy for people with acute cholecystitis","author":"Gurusamy KS","year":"2013","journal-title":"Cochrane Database of Systematic Reviews"},{"issue":"4","key":"ref8","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1590\/S0102-67202014000400010","article-title":"Comparative analysis of iatrogenic injury of biliary tract in laparotomic and laparoscopic cholecystectomy","volume":"27","author":"Fortunato Andr\u00e9 Augusto","year":"2014","journal-title":"ABCD, arq. bras. cir. dig"},{"issue":"6","key":"ref9","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1016\/j.ijsu.2010.06.015","article-title":"Emergency laparoscopic cholecystectomy in an unselected cohort: A safe and viable option in a specialist centre","volume":"8","author":"Saeb-Parsy K.","year":"2010","journal-title":"International Journal of Surgery"},{"issue":"1","key":"ref10","first-page":"82e7","article-title":"Early versus delayed-interval laparoscopic cholecystectomy for acute cholecystitis a metaanalysis","volume":"20","author":"Lau H","year":"2006","journal-title":"Surg Endosc"},{"key":"ref11","article-title":"Laparoscopic cholecystectomy","author":"Malladi P","year":"2014","journal-title":"UpToDate"},{"issue":"1","key":"ref12","first-page":"52","article-title":"Colecistite aguda diagn\u00f3stico e tratamento","volume":"8","author":"Maya MCA","year":"2009","journal-title":"Revista Hospital Universit\u00e1rio Pedro Ernesto"},{"issue":"2","key":"ref13","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1590\/0102-6720201600020004","article-title":"Total cost of hospitalization of patients undergoing elective laparoscopic cholecystectomy related to nutritional status","volume":"29","author":"Menezes Francisco Julimar Correia de","year":"2016","journal-title":"Abcd, arq. Bras. Cir. Dig"},{"issue":"16","key":"ref14","first-page":"p541","article-title":"Is male gender a risk factor for Cholecystectomy?","volume":"Vol","author":"Moosa Foad Ali","year":"2010","journal-title":"Medical Channel"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1001\/jama.1993.03500080066034","article-title":"Gallstones and laparoscopic cholecystectomy","volume":"269","year":"1993","journal-title":"JAMA"},{"issue":"2","key":"ref16","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1590\/0102-6720201600020003","article-title":"Hospitalizations for cholecystitis and cholelithiasis in the state of rio grande do sul, brazil","volume":"29","author":"Nunes Emeline Caldana","year":"2016","journal-title":"abCD, arq. bras. cir. dig"},{"issue":"4","key":"ref17","doi-asserted-by":"crossref","first-page":"414e8","DOI":"10.1089\/lap.2006.0178","article-title":"Risk factors influencing conversion of laparoscopic to open cholecystectomy","volume":"17","author":"Pavlidis TE","year":"2007","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"4","key":"ref18","doi-asserted-by":"crossref","first-page":"449","DOI":"10.11606\/issn.2176-7262.v41i4p449-464","article-title":"Colecistectomia aspectos t\u00e9cnicos e indica\u00e7\u00f5es para o tratamento da lit\u00edase biliar e das neoplasias","volume":"41","author":"Santos JS","year":"2008","journal-title":"Medicina (Ribeir\u00e3o Preto)"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1590\/S0102-86502001000500016","article-title":"Mutir\u00f5es de colecistectomia por videolaparoscopia em regime de cirurgia ambulatorial","volume":"16","author":"Santos JS","year":"2001","journal-title":"Acta cir.bras"},{"issue":"1","key":"ref20","doi-asserted-by":"crossref","first-page":"40e7","DOI":"10.1016\/j.amjsurg.2007.03.004","article-title":"Early versus delayed laparoscopic cholecystectomy for acute cholecystitis a meta-analysis of randomized clinical trials","volume":"195","author":"Siddiqui T","year":"2008","journal-title":"Am J Surg"},{"issue":"34","key":"ref21","first-page":"5528e31","article-title":"Timing of laparoscopic cholecystectomy for acute cholecystitis a prospective non randomized study.World","volume":"12","author":"Tzovaras G","year":"2006","journal-title":"J Gastroenterol"},{"issue":"4","key":"ref22","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1016\/j.ijsu.2011.02.003","article-title":"Risk factors in laparoscopic cholecystectomy: A multivariate analysis","volume":"9","author":"Kanakala Venkatesh","year":"2011","journal-title":"International Journal of Surgery"}],"container-title":["ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/abcd\/v30n1\/0102-6720-abcd-30-01-00047.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,28]],"date-time":"2022-07-28T00:25:21Z","timestamp":1658967921000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202017000100047&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3]]},"references-count":22,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,3]]}},"alternative-id":["S0102-67202017000100047"],"URL":"https:\/\/doi.org\/10.1590\/0102-6720201700010013","relation":{},"ISSN":["0102-6720"],"issn-type":[{"value":"0102-6720","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3]]}}}