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Héctor Orozco, MD; Miguel Angel Mercado, MD
Mexico City, Mexico

Arch Surg. 2000;135:70.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

There are some interesting aspects we can comment on regarding the study by Tocchi et al. First, the authors present a very small group of patients with a problem that is frequently encountered all over the world. We should be reading about hundreds of patients receiving antibiotics and hundreds not receiving them instead of such small groups. Second, the infection rate seems exceedingly high in this selected group of patients (many exclusion criteria) who underwent elective, minimally invasive surgery. (Perhaps more so in the control group, but it is also high in the protected group.) One wonders not necessarily about the usefulness of prophylactic antibiotics but about the surgical care protocols at the center where the study was performed. Perhaps there were several surgeons involved, maybe drains were being left, etc. Third, it is strange that in a selected population without acute cholecystitis . . . [Full Text of this Article]

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The Need for Antibiotic Prophylaxis in Elective Laparoscopic Cholecystectomy: A Prospective Randomized Study
Adriano Tocchi, Luca Lepre, Gianluca Costa, Gianluca Liotta, Gianluca Mazzoni, and Fabrizio Maggiolini
Arch Surg. 2000;135(1):67-70.
ABSTRACT | FULL TEXT