Overview

Is it Fair to Use Antibiotics After Laparoscopic Cholecystectomy for the Patients With Acutely Inflamed Gallbladder?

Status:
Completed
Trial end date:
2016-06-01
Target enrollment:
0
Participant gender:
All
Summary
During the laparoscopic cholecystectomy for acute cholecystitis, most surgeons routinely use the postoperative antibiotics after surgery. However, there is no consensus regarding the actual need of postoperative antibiotics in these cases and the use of postoperative antibiotics remains controversial. Investigators will compare the surgical outcomes after laparoscopic cholecystectomy to the patients who has no evidence of systemic infection, according to the usage of postoperative antibiotics or not. The investigators expect that the routine use of postoperative antibiotics after laparoscopic cholecystectomy for acute cholecystitis gallbladder will have no effects on the postoperative morbidity.
Phase:
N/A
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Seoul St. Mary's Hospital
Taeho Hong
Collaborators:
Bucheon St. Mary's Hospital
Catholic University of Korea Saint Paul's Hospital
Incheon St.Mary's Hospital
Uijeongbu St. Mary Hospital
Treatments:
Anti-Bacterial Agents
Ascorbic Acid
Cephalosporins
Vitamins
Criteria
Inclusion Criteria:

- grade I Tokyo guideline for acute cholecystitis

- grade II Tokyo guideline for acute cholecystitis without the evidence of gallbladder
perforation

Exclusion Criteria:

- chronic cholecystitis

- gallbladder polyp or gallbladder cancer

- the patient who underwent reduced port surgery

- the patient who underwent common bile duct exploration during the operation

- the patient who underwent concurrent operation

- the patient who had past history of upper abdominal surgery

- the patient who had a immunodeficiency state

- the case which had a suspicion of delayed bile leakage

- the case which had a incomplete cystic duct ligation

- the patient who underwent open conversion surgery during the operation

- the patient who had a high risk of bleeding