Impact of the COVID-19 Pandemic on Gallstone Disease: Experience at a High-Volume Center
Journal Title: Journal of Surgery Research and Practice - Year 2021, Vol 2, Issue 2
Abstract
Background: Diagnostic delay associated to COVID-19 pandemic led patients to present with more advanced conditions than usual. The aim of this study was to analyze Laparoscopic Cholecystectomies (LC) performed for acute gallstone-related disease during the pandemic and to compare them with two control groups. Methods: All LC performed between April and July 2020 (Group 3: G3) were analyzed and compared with LC performed in the same period in 2019 (Group 2: G2) and 2018 (Group 1: G1). Results: In G3 80 LC were performed, of which 36 (45%) were due to acute disease, while in G1 of 192 LC 45 (23.44%) and in G2 of 234 LC 37 (15.81%) were due to acute disease (p <0.01). Time from symptom onset until hospital consultation was longer during the pandemic (G3: 3.8 days vs 2.87 days for G1 and 2.26 days for G2; p <0.05). Mean operative time in minutes was also longer: 78.56 (SD ± 31.6) for G3, 57.69 (SD ± 26.5) for G1 and 63.51 (SD ± 29.4) for G2 (p <0.01). Discussion: We observed a significant delay in hospital consultation due to acute gallstoneassociated disease resulting in more advanced cases requiring increased operative time for their resolution.
Authors and Affiliations
Joaquin Fernandez-Alberti*, Nicolas Panzardi, Mariano Bregante, Rafael Jose Maurette, Jorge Diego Bogetti, Daniel Enrique Pirchi
Keywords
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- EP ID EP698906
- DOI http://dx.doi.org/10.46889/JSRP.2021.2201
- Views 58
- Downloads 0
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