Acute Care Surgery Model for Emergency Cholecystectomy.
10.17479/jacs.2016.6.2.57
- Author:
Myoung Je SONG
1
;
Kyoung Mi LEE
;
In Byung KIM
;
Heon Kyun HA
;
Wan Sung KIM
;
Hyoun Jong MOON
;
Jin Ho JEONG
;
Kang Kook CHOI
Author Information
1. Department of Emergency Medicine, Seonam University Myongji Hospital, Goyang, Korea.
- Publication Type:Original Article
- Keywords:
General surgery;
Time;
Cholecystectomy;
Gall bladder;
Wounds and injuries
- MeSH:
Cholecystectomy*;
Emergencies*;
Emergency Service, Hospital;
Humans;
Intensive Care Units;
Korea;
Length of Stay;
Mortality;
Retrospective Studies;
Wounds and Injuries
- From:
Journal of Acute Care Surgery
2016;6(2):57-61
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Acute care surgery (ACS) models have evolved worldwide over the last decade. However, South Korea has an established trauma system and does not consider the ACS model. This study compares the management and outcome of emergency cholecystectomy in the ACS model to those of traditional on-call attending surgeon model for emergency surgery. METHODS: Retrospectively collected data for patients who underwent emergency cholecystectomy from May 2013 to January 2015 was analyzed to compare data from a traditional on-call system (OCS) and ACS. RESULTS: One hundred and twenty-four patients were enrolled in the study (62 patients ACS vs. 62 patients OCS). Hospital stay (days) (ACS=4.29±2.49 vs. OCS=4.82±4.48, p=0.46) and stay in emergency room (minutes) (ACS=213.10±113.99 vs. OCS=241.10±150.73, p=0.20) did not differ significantly between groups. Operation time (minutes) was significantly shorter in the ACS than OCS group (389.97±215.21 vs. 566.35±290.14, p<0.001). Other clinical variables (sex, open-conversion rate, whether the operation was performed at night/holiday, intensive care unit admission rate) did not differ between groups. There was no mortality and readmission. CONCLUSION: The implementation of the ACS led to shorter operation time and no increase of postoperative mortality and complication.
