Round 1 (%) | Round 2 (%) | Delta | P value | |
---|---|---|---|---|
In patients with acute cholecystitis when there is a clear indication of PC it is not necessary to wait 48 h to be carried out | 91.4 | 88.9 | − 2.5 | 0.266 |
There is no indication for PC in Tokyo Guidelines (TG) grade I patients | 72.4 | 72.2 | − 0.2 | 0.096 |
Surgery is the first therapeutic option for the TG grade II acute cholecystitis in a patient suitable for surgery | 91.4 | 87.0 | − 4.4 | 0.642 |
Transhepatic approach is the route of choice for PC | 72.4 | 83.4 | 11.0 | 0.007 |
Before PC removal a cholangiography should be done | 79.3 | 81.5 | 2.2 | 0.017 |
If there is a normal cholangiogram. PC will be closed and retired in 48 h if there is not a clinical/analytical worsening | 70.7 | 66.7 | − 4.0 | 0.523 |
After PC laparoscopic cholecystectomy is the preferred approach | 93.1 | 96.3 | 3.2 | 0.063 |