Journal article
An acute care surgery dilemma: emergent laparoscopic cholecystectomy in patients on aspirin therapy
The American journal of surgery, Vol.209(4), pp.689-694
04/01/2015
DOI: 10.1016/j.amjsurg.2014.04.014
PMID: 25064416
Abstract
The current literature regarding hemorrhagic complications in patients on long-term antiplatelet therapy undergoing emergent laparoscopic cholecystectomy is limited. The aim of our study was to describe hemorrhagic complications in patients on prehospital aspirin (ASP) therapy undergoing emergent cholecystectomy.
We performed a 1-year retrospective analysis of our prospectively maintained acute care surgery database. The 2 groups (ASP group vs No ASP group) were matched in a 1:1 ratio for age, sex, previous abdominal surgeries, and comorbidities. Primary outcome measures were intraoperative hemorrhage, postoperative anemia, need for blood transfusion, and conversion to open cholecystectomy. Intraoperative hemorrhage was defined as intraoperative blood loss of ≥ 100 mL; postoperative anemia was defined by ≥ 2 g/dL drop in hemoglobin.
A total of 112 (ASP: 56, no ASP: 56) patients were included in the analysis. The mean age was 65.9 ± 10 years, and 50% were male. There was no difference in age (P = .9), sex (P = .9), and comorbidities (P = .7) between the 2 groups. There was no difference in intraoperative blood loss >100 mL (P = .5), postoperative anemia (P = .8), blood transfusion requirement (P = .9), and conversion to open surgery (P = .7) between patients on American Society of Anesthesiologists therapy and patients not on American Society of Anesthesiologists therapy.
Emergent laparoscopic cholecystectomy is a safe procedure in patients on long-term ASP. Prehospital use of ASP as an independent factor should not be used to delay emergent cholecystectomy.
Details
- Title: Subtitle
- An acute care surgery dilemma: emergent laparoscopic cholecystectomy in patients on aspirin therapy
- Creators
- Bellal Joseph - Banner - University Medical Center TucsonBadi Rawashdeh - University of ArizonaHassan Aziz - University of ArizonaNarong Kulvatunyou - University of ArizonaViraj Pandit - University of ArizonaQasim Jehangir - University of ArizonaTerence O'Keeffe - Banner - University Medical Center TucsonAndrew Tang - University of ArizonaDonald J Green - University of ArizonaRandall S Friese - University of ArizonaPeter Rhee - University of Arizona
- Resource Type
- Journal article
- Publication Details
- The American journal of surgery, Vol.209(4), pp.689-694
- DOI
- 10.1016/j.amjsurg.2014.04.014
- PMID
- 25064416
- ISSN
- 0002-9610
- eISSN
- 1879-1883
- Language
- English
- Date published
- 04/01/2015
- Academic Unit
- Surgery
- Record Identifier
- 9984701548602771
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