Acute Care Surgery Model for Emergency Cholecystectomy
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...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Society of Acute Care Surgery
2016-10-01
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| Series: | Journal of Acute Care Surgery |
| Subjects: | |
| Online Access: | http://www.jacs.or.kr/upload/pdf/jacs-6-57.pdf |
| _version_ | 1797682409742794752 |
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| author | Myoung Je Song Kyoung Mi Lee In Byung Kim Heon-Kyun Ha Wan Sung Kim Hyoun Jong Moon Jin Ho Jeong Kang Kook Choi |
| author_facet | Myoung Je Song Kyoung Mi Lee In Byung Kim Heon-Kyun Ha Wan Sung Kim Hyoun Jong Moon Jin Ho Jeong Kang Kook Choi |
| author_sort | Myoung Je Song |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-11T23:59:21Z |
| format | Article |
| id | doaj.art-9a9ccc512d654e5e926389d1c30e5eea |
| institution | Directory Open Access Journal |
| issn | 2288-5862 2288-9582 |
| language | English |
| last_indexed | 2024-03-11T23:59:21Z |
| publishDate | 2016-10-01 |
| publisher | Korean Society of Acute Care Surgery |
| record_format | Article |
| series | Journal of Acute Care Surgery |
| spelling | doaj.art-9a9ccc512d654e5e926389d1c30e5eea2023-09-18T06:30:43ZengKorean Society of Acute Care SurgeryJournal of Acute Care Surgery2288-58622288-95822016-10-0162576110.17479/jacs.2016.6.2.5732Acute Care Surgery Model for Emergency CholecystectomyMyoung Je Song0Kyoung Mi Lee1In Byung Kim2Heon-Kyun Ha3Wan Sung Kim4Hyoun Jong Moon5Jin Ho Jeong6Kang Kook Choi7 Department of Emergency Medicine, Seonam University Myongji Hospital, Goyang, Korea Department of Emergency Medicine, Seonam University Myongji Hospital, Goyang, Korea Department of Emergency Medicine, Seonam University Myongji Hospital, Goyang, Korea Department of Surgery, Seonam University Myongji Hospital, Goyang, Korea Department of Surgery, Seonam University Myongji Hospital, Goyang, Korea Department of Surgery, Seonam University Myongji Hospital, Goyang, Korea Department of Surgery, Seonam University Myongji Hospital, Goyang, Korea Department of Trauma Surgery, Gachon University Gil Medical Center, Incheon, Korea 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.http://www.jacs.or.kr/upload/pdf/jacs-6-57.pdfgeneral surgerytimecholecystectomygall bladderwounds and injuries |
| spellingShingle | Myoung Je Song Kyoung Mi Lee In Byung Kim Heon-Kyun Ha Wan Sung Kim Hyoun Jong Moon Jin Ho Jeong Kang Kook Choi Acute Care Surgery Model for Emergency Cholecystectomy Journal of Acute Care Surgery general surgery time cholecystectomy gall bladder wounds and injuries |
| title | Acute Care Surgery Model for Emergency Cholecystectomy |
| title_full | Acute Care Surgery Model for Emergency Cholecystectomy |
| title_fullStr | Acute Care Surgery Model for Emergency Cholecystectomy |
| title_full_unstemmed | Acute Care Surgery Model for Emergency Cholecystectomy |
| title_short | Acute Care Surgery Model for Emergency Cholecystectomy |
| title_sort | acute care surgery model for emergency cholecystectomy |
| topic | general surgery time cholecystectomy gall bladder wounds and injuries |
| url | http://www.jacs.or.kr/upload/pdf/jacs-6-57.pdf |
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