Table 2.
Postoperative outcomes of patients undergoing open or laparoscopic cholecystectomy for acute cholecystitis.
| Baseline population | After propensity score matching | |||||
|---|---|---|---|---|---|---|
| Postoperative outcomes | All patients (n=1 182) | Open (n=217) | Laparoscopy (n=965) | P value* | Laparoscopy (n=217) | P value* |
| Hospital stays | ||||||
| Total days, median (IQR) | 4 (2–6) | 7 (4–12) | 3 (2–5) | <0.001 | 4 (3–6) | <0.001 |
| 30-day morbidity | ||||||
| Patients who developed morbidity events, n (%) | 203 (17.2) | 89 (41.0) | 114 (11.8) | <0.001 | 47 (21.7) | <0.001 |
| Postoperative complications, n (%) | ||||||
| Anastomotic leak / dehiscence | 15 (1.3) | 12 (5.5) | 3 (0.3) | <0.001 | 0 (0.0) | <0.001 |
| Wound dehiscence | 8 (0.7) | 3 (1.4) | 5 (0.5) | 0.34 | 1 (0.5) | 0.62 |
| Cardiac failure | 36 (3.0) | 19 (8.8) | 17 (1.8) | <0.001 | 8 (3.7) | 0.047 |
| Fever / pyrexia of unknown origin | 17 (1.4) | 8 (3.7) | 9 (0.9) | 0.006 | 2 (0.9) | 0.11 |
| Wound haemorrhage | 4 (0.3) | 3 (1.4) | 1 (0.1) | 0.02 | 0 (0.0) | 0.25 |
| Deep wound haemorrhage | 6 (0.5) | 5 (2.3) | 1 (0.1) | <0.001 | 0 (0.0) | 0.06 |
| Hypotension | 28 (2.4) | 18 (8.3) | 10 (1.0) | <0.001 | 5 (2.3) | 0.01 |
| Wound infection | 20 (1.7) | 9 (4.1) | 11 (1.1) | 0.005 | 7 (3.2) | 0.80 |
| Deep wound infection | 55 (4.7) | 21 (9.7) | 34 (3.5) | <0.001 | 11 (5.1) | 0.10 |
| Chest infection | 20 (1.7) | 10 (4.6) | 10 (1.0) | <0.001 | 5 (2.3) | 0.29 |
| Urinary tract infection | 9 (0.8) | 5 (2.3) | 4 (0.4) | 0.014 | 1 (0.5) | 0.22 |
| Renal failure | 49 (4.1) | 26 (12.0) | 23 (2.4) | <0.001 | 13 (6.0) | 0.04 |
| Respiratory failure | 42 (3.6) | 24 (11.1) | 18 (1.9) | <0.001 | 9 (4.1) | 0.01 |
| Septicaemia | 34 (2.9) | 27 (12.4) | 7 (0.7) | <0.001 | 2 (0.9) | <0.001 |
| Deep vein thrombosis, pulmonary embolism | 3 (0.3) | 2 (0.9) | 1 (0.1) | 0.16 | 1 (0.5) | 1.0 |
| 30-day mortality | ||||||
| Patients who died, n (%) | 27 (2.3) | 19 (8.8) | 8 (0.8) | <0.001 | 6 (2.8) | 0.013 |
Laparoscopic vs. Open.
IQR, interquartile range.