{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T01:09:19Z","timestamp":1751418559468},"reference-count":9,"publisher":"FapUNIFESP (SciELO)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"published-print":{"date-parts":[[2012,10]]},"abstract":"<jats:p>Metan\u00e1lises recentes sugerem que a colecistectomia laparosc\u00f3pica precoce (dentro de uma semana do in\u00edcio dos sintomas) para a doen\u00e7a aguda, n\u00e3o complicada, da ves\u00edcula biliar \u00e9 segura e vi\u00e1vel. No entanto, enquetes sobre as pr\u00e1ticas cir\u00fargicas indicam que a colecistectomia laparosc\u00f3pica precoce \u00e9 realizada por apenas uma minoria dos cirurgi\u00f5es. Al\u00e9m disso, o melhor momento para realiza\u00e7\u00e3o deste procedimento, bem como sua rela\u00e7\u00e3o custo-efic\u00e1cia continuam sendo uma quest\u00e3o de debate. A reuni\u00e3o de revista TBE - CiTE realizou uma avalia\u00e7\u00e3o cr\u00edtica dos artigos mais relevantes, publicados recentemente, sobre o momento da colecistectomia laparosc\u00f3pica e sua rela\u00e7\u00e3o custo-efic\u00e1cia para o tratamento da colecistite aguda n\u00e3o complicada e fornece recomenda\u00e7\u00f5es baseadas em evid\u00eancias sobre o tema. A literatura engloba pequenos ensaios com alto risco para vieses. Ela sugere que colecistectomia laparosc\u00f3pica precoce \u00e9 segura e encurta o per\u00edodo de interna\u00e7\u00e3o. H\u00e1 uma escassez de estudos bem desenhados e de grandes s\u00e9ries analisando custo-utilidade. As seguintes recomenda\u00e7\u00f5es foram geradas: (1) a colecistectomia laparosc\u00f3pica precoce deve ser tentada como o tratamento de primeira linha dentro de uma semana do in\u00edcio dos sintomas, e (2) O custo-efetividade da colecistectomia laparosc\u00f3pica precoce deve ser avaliada em cada local, levando-se em considera\u00e7\u00e3o os recursos, tais como a disponibilidade de pessoal treinado e de equipamentos laparosc\u00f3picos.<\/jats:p>","DOI":"10.1590\/s0100-69912012000500017","type":"journal-article","created":{"date-parts":[[2012,11,21]],"date-time":"2012-11-21T10:58:28Z","timestamp":1353495508000},"page":"436-440","source":"Crossref","is-referenced-by-count":7,"title":["Colecistite aguda n\u00e3o-complicada: colecistectomia laparosc\u00f3pica precoce ou tardia?"],"prefix":"10.1590","volume":"39","author":[{"given":"Ajith","family":"Sankarankutty","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Teodoro da","family":"Luz","sequence":"additional","affiliation":[{"name":"Universidade de Toronto,  Canad\u00e1"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tercio De","family":"Campos","sequence":"additional","affiliation":[{"name":"Santa Casa de S\u00e3o Paulo; Universidade de S\u00e3o Paulo,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandro","family":"Rizoli","sequence":"additional","affiliation":[{"name":"Universidade de Toronto,  Canad\u00e1"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo Pereira","family":"Fraga","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bartolomeu","family":"Nascimento Jr","sequence":"additional","affiliation":[{"name":"Universidade de Toronto,  Canad\u00e1"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"6","key":"ref1","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1002\/bjs.4547","article-title":"Development of symptoms and complications in individuals with asymptomatic gallstones","volume":"91","author":"Halldestam I","year":"2004","journal-title":"Br J Surg."},{"issue":"6","key":"ref2","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1016\/S0002-9610(00)00520-1","article-title":"Consequences of delay in surgical treatment of biliary disease","volume":"180","author":"Rutledge D","year":"2000","journal-title":"Am J Surg."},{"issue":"2","key":"ref3","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1002\/bjs.6870","article-title":"Meta-analysis of randomized controlled trials on the safety and effectiveness of early versus delayed laparoscopic cholecystectomy for acute cholecystitis","volume":"97","author":"Gurusamy K","year":"2010","journal-title":"Br J Surg."},{"issue":"1","key":"ref4","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1007\/s00464-005-0100-2","article-title":"Early versus delayed-interval laparoscopic cholecystectomy for acute cholecystitis: a metaanalysis","volume":"20","author":"Lau H","year":"2006","journal-title":"Surg Endosc."},{"issue":"2","key":"ref5","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1002\/bjs.6872","article-title":"Cost-utility and value-of-information analysis of early versus delayed laparoscopic cholecystectomy for acute cholecystitis","volume":"97","author":"Wilson E","year":"2010","journal-title":"Br J Surg."},{"issue":"3","key":"ref6","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.amjsurg.2004.06.013","article-title":"A nationwide study of conversion from laparoscopic to open cholecystectomy","volume":"188","author":"Livingston EH","year":"2004","journal-title":"Am J Surg."},{"issue":"5","key":"ref7","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1308\/003588403769162404","article-title":"A survey of the timing and approach to the surgical management of cholelithiasis in patients with acute biliary pancreatitis and acute cholecystitis in the UK","volume":"85","author":"Senapati PS","year":"2003","journal-title":"Ann R Coll Surg Engl."},{"issue":"6","key":"ref8","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1097\/SLA.0b013e318228d31c","article-title":"Population-based analysis of 4113 patients with acute cholecystitis: defining the optimal time-point for laparoscopic cholecystectomy","volume":"254","author":"Banz V","year":"2011","journal-title":"Ann Surg."},{"issue":"9","key":"ref9","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1002\/bjs.6685","article-title":"Prospective randomized trial using cost-utility analysis of early versus delayed laparoscopic cholecystectomy for acute gallbladder disease","volume":"96","author":"Macafee DA","year":"2009","journal-title":"Br J Surg."}],"container-title":["Revista do Col\u00e9gio Brasileiro de Cirurgi\u00f5es"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rcbc\/v39n5\/17.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,5,27]],"date-time":"2017-05-27T10:31:36Z","timestamp":1495881096000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0100-69912012000500017&lng=pt&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2012,10]]}},"alternative-id":["S0100-69912012000500017"],"URL":"https:\/\/doi.org\/10.1590\/s0100-69912012000500017","relation":{},"ISSN":["0100-6991"],"issn-type":[{"value":"0100-6991","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,10]]}}}