Textbook outcome in urgent early cholecystectomy for acute calculous cholecystitis: results post hoc of the S.P.Ri.M.A.C.C study

• DOI: 10.1186/s13017-024-00539-6
• Publication Date: 2024-03-21T06:01:47Z
• Authors: Paola Fugazzola; Silvia Carbonell-...; Lorenzo Cobianchi; Federico Coccolini; Juan Jesús Rubio-...; Massimo Sartelli; Walter Biffl; Fausto Catena; Luca Ansaloni; Jose Manuel Ramia; ; Trpimir Morić; Selmy Awad; Azzah M. Alzahrani; Mohamed Elbahnasawy; Damien Massalou; Belinda De Simone; Zaza Demetrashvili; Athina‑Despoina K...; Dimitrios Schizas; Dimitrios Balalis; Nikolaos Tasis; Maria Papadoliopo...; Petrakis Georgios; Konstantinos Lasi...; Orestis Ioannidis; Lovenish Bains; Matteo Magnoli; Pasquale Cianci; Nunzia Ivana Conv...; Alessandro Pasculli; Jacopo Andreuccetti; Elisa Arici; Giusto Pignata; Guido A. M. Tiberio; Mauro Podda; Cristina Murru; Massimiliano Veroux; Costanza Distefano; Danilo Centonze; Francesco Favi; Vanni Agnoletti; Rafaele Bova; Girolamo Convertini; Andrea Balla; Diego Sasia; Giorgio Giraudo; Anania Gabriele; Nicola Tartaglia; Giovanna Pavone; Fabrizio D’Acapito; Nicolò Fabbri; Francesco Ferrara; Stefania Cimbanassi; Luca Ferrario; Stefano Ciof; Marco Ceresoli; Chiara Fumagalli; Luca Degrate; Maurizio Degiuli; Silvia Sofa; Leo Licari; Matteo Tomasoni; Tommaso Dominioni; Camilla Nikita Farè; Marcello Maestri; Jacopo Viganò; Benedetta Sargenti; Andrea Anderloni; Valeria Musella; Simone Frassini; Giulia Gambini; Mario Improta; Alberto Patriti; Diego Coletta; Luigi Conti; Michele Malerba; Muratore Andrea; Marcello Calabrò; Beatrice De Zolt; Gabriele Bellio; Alessio Giordano; Davide Luppi; Carlo Corbellini; Gianluca Matteo S...; Chiara Marafante; Stefano Rossi; Andrea Mingoli; Pierfrancesco Lap...; Pierfranco M. Cic...; Leandro Siragusa; Michele Grande; Claudio Arcudi; Amedeo Antonelli; Danilo Vinci; Ciro De Martino; Mariano Fortunato...; Enrica Bisogno; Diego Visconti; Mauro Santarelli; Elena Montanari; Alan Biloslavo; Paola Germani; Claudia Zaghi; Naoki Oka; Mohd Azem Fathi; Daniel Ríos‑Cruz; Edgard Efren Loza...; Ibrahim Umar Garzali; Liliana Duarte; Ionut Negoi; Andrey Litvin; Sharfuddin Chowdhury; Salem M. Alshahrani; Silvia Carbonell‑...; Juan J. Rubio‑Garcia; Claudia Cristina ...; Iñigo Augusto Ponce; Fernando Mendoza‑...; Anna Muñoz Campaña; Heura Llaquet Bayo; Andrea Campos Serra; Aitor Landaluce; Begoña Estraviz‑M...; Izaskun Markinez‑...; Mario Serradilla‑...; Antonio Cano‑ Par...; Miguel Ángel Dobó...; Hytham Hamid; Oussama Baraket; Emre Gonullu; Sezai Leventoglu; Yilmaz Turk; Çağrı Büyükkasap; Ulaş Aday; Yasin Kara; Hamit Ahmet Kabuli; Semra Demirli Atici; Elif Colak; Serge Chooklin; Serhii Chuklin; Federico Ruta; Marcello Di Martino; Francesca Dal Mas; Fikri M. Abu‑Zidan; Salomone Di Saverio; Ari Leppäniemi; Elena Martín‑Pérez; Ángela de la Hoz ...; Ernest E. Moore; Andrew B. Peitzman
• Keywords: Acute cholecystitis; Benchmark; Early cholecystectomy; Morbidity; Textbook outcome;; RD1-811; RC86-88.9; Research; 610; Medical emergencies. Critical care. Intensive care. First aid; Acute cholecystiti; Benchmark; Acute cholecystitis; 03 medical and health sciences; 0302 clinical medicine; Early cholecystectomy; Textbook outcome; Surgery; Morbidity; Acute cholecystitis; Benchmark; Early cholecystectomy; Morbidity; Textbook outcome

Abstract Introduction A textbook outcome patient is one in which the operative course passes uneventful, without complications, readmission or mortality. There is a lack of publications in terms of TO on acute cholecystitis.

Objetive The objective of this study is to analyze the achievement of TO in patients with urgent early cholecystectomy (UEC) for Acute Cholecystitis. and to identify which factors are related to achieving TO.

Materials and methods This is a post hoc study of the SPRiMACC study. It´s a prospective multicenter observational study run by WSES. The criteria to define TO in urgent early cholecystectomy (TOUEC) were no 30-day mortality, no 30-day postoperative complications, no readmission within 30 days, and hospital stay ≤ 7 days (75th percentile), and full laparoscopic surgery. Patients who met all these conditions were taken as presenting a TOUEC.

Outcomes 1246 urgent early cholecystectomies for ACC were included. In all, 789 patients (63.3%) achieved all TOUEC parameters, while 457 (36.6%) failed to achieve one or more parameters and were considered non-TOUEC. The patients who achieved TOUEC were younger had significantly lower scores on all the risk scales analyzed. In the serological tests, TOUEC patients had lower values for in a lot of variables than non-TOUEC patients. The TOUEC group had lower rates of complicated cholecystitis. Considering operative time, a shorter duration was also associated with a higher probability of reaching TOUEC.

Conclusion Knowledge of the factors that influence the TOUEC can allow us to improve our results in terms of textbook outcome.