Emergency vs Elective Cholecystectomy: A Comparative Analysis of Patient Profiles, Intraoperative Findings, and Postoperative Outcomes
Dr. Vinod Ramachandran
Presented in 15th World Gastroenterology, IBD & Hepatology Conference from December 17-19, 2025, in Dubai, UAE & Online.
Speaker Name: Dr. Vinod Ramachandran
Location: Australia
Category: (Poster Presenter )
He began his medical journey at Monash University, graduating with an MBBS (Honours) in 2019. Driven by a passion for advancing surgical knowledge, Dr. Vinod Ramachandran went on to complete a Master’s degree in Surgery and Trauma at Newcastle University, where he strengthened his academic foundation and expertise in evidence-based trauma care.
Following his postgraduate studies, he spent a formative year practicing rural medicine, gaining invaluable experience in resource-limited environments. This period fostered adaptability, independence, and a deeper appreciation of diverse healthcare challenges.
Over the past three years, Dr. Vinod Ramchandran has served as a surgical registrar across general and subspecialty units, broadening his operative and clinical expertise and reinforcing his commitment to a surgical career. Alongside his clinical practice, he maintains an active interest in academic research, contributing to several projects and publications focused on surgery and trauma.
Dedicated to education, Dr. Vinod Ramchandran also teaches and mentors medical students, a role he finds both rewarding and impactful in shaping the next generation of doctors. Looking ahead, he aspires to enter formal surgical training, continuing to build on his clinical, academic, and teaching achievements while contributing to high-quality patient care.
Global Journal of Gastroenterology & Hepatology Research [GJGHR]
Visit Poster Presenter page: https://gastroenterology.utilitarianconferences.com/speaker/dr-vinod-ramachandran
Background:
Laparoscopic cholecystectomy is a widely performed procedure for gallstone disease; however, outcomes can vary significantly depending on whether surgery is performed electively or as an emergency. Emergency cholecystectomy is often associated with more advanced disease, technical difficulty, and increased postoperative risk. This study aimed to explore these differences using data from a prospectively collected cohort.
Methods:
A retrospective review was conducted using data from the GECKO project, encompassing patients who underwent laparoscopic cholecystectomy across major hospitals in Adelaide. Patients were classified into elective or emergency surgery groups. Demographic variables, preoperative imaging findings, intraoperative cholangiogram (IOC) results, and postoperative outcomes—including Clavien-Dindo complication grade, length of hospital stay (LOS), and 30-day readmission rates—were analyzed. Statistical comparisons between groups were performed, and logistic regression was used to identify predictors of emergency surgery and adverse outcomes.
Results:
Of 179 patients, 66.5% underwent emergency cholecystectomy. Emergency cases were associated with younger age, higher rates of biliary colic admissions in the preceding year, and increased likelihood of positive IOC findings. Emergency surgery patients had longer LOS and a trend toward higher complication and readmission rates. Multivariate analysis identified frailty and positive imaging findings as significant predictors of emergency surgery.
Conclusion:
Emergency cholecystectomy is associated with distinct patient characteristics and less favorable outcomes compared to elective surgery. These findings highlight the importance of timely referral and risk stratification to potentially shift suitable patients toward elective management, optimizing outcomes and resource use.
Tags
Crohn’s and Colitis Journals | Gastroenterology & Hepatology Journals | Gastroenterology Journals | Research Gastroenterology and Hepatology Journals | Clinical and Experimental Gastroenterology Journals | Gastrointestinal Endoscopy Journals | Therapeutic Advances in Gastroenterology Journals | Colorectal Disease: clinical and molecular gastroenterology and surgery Journals | Inflammatory Bowel Diseases Journals | Expert Review of Gastroenterology & Hepatology Journals | Clinical Colorectal Journals | Cancer Gut Journals | Endoscopy Journals | Hepatitis B Annual Journals | Hepato-biliary-Pancreatic Sciences Journals | Medical Bulletin Journals
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