A textbook outcome patient is one in which the operative course passes uneventful, without complications, readmission or mortality. There is a lack of publications in terms of TO on acute cholecystitis. The objective of this study is to analyze the achievement of TO in patients with urgent early cholecystectomy (UEC) for Acute Cholecystitis. and to identify which factors are related to achieving TO. This is a post hoc study of the SPRiMACC study. It´s a prospective multicenter observational study run by WSES. The criteria to define TO in urgent early cholecystectomy (TOUEC) were no 30-day mortality, no 30-day postoperative complications, no readmission within 30 days, and hospital stay ≤ 7 days (75th percentile), and full laparoscopic surgery. Patients who met all these conditions were taken as presenting a TOUEC. 1246 urgent early cholecystectomies for ACC were included. In all, 789 patients (63.3%) achieved all TOUEC parameters, while 457 (36.6%) failed to achieve one or more parameters and were considered non-TOUEC. The patients who achieved TOUEC were younger had significantly lower scores on all the risk scales analyzed. In the serological tests, TOUEC patients had lower values for in a lot of variables than non-TOUEC patients. The TOUEC group had lower rates of complicated cholecystitis. Considering operative time, a shorter duration was also associated with a higher probability of reaching TOUEC. Knowledge of the factors that influence the TOUEC can allow us to improve our results in terms of textbook outcome.

中文翻译：

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急性结石性胆囊炎紧急早期胆囊切除术的教科书结果：SPRi.MACC 研究的事后结果


教科书式结果的患者是指手术过程平安无事、没有并发症、没有再入院或死亡的患者。目前缺乏有关急性胆囊炎的 TO 出版物。本研究的目的是分析因急性胆囊炎而接受紧急早期胆囊切除术 (UEC) 的患者的 TO 成就。并确定哪些因素与实现 TO 相关。这是 SPRiMACC 研究的事后研究。这是 WSES 开展的一项前瞻性多中心观察研究。紧急早期胆囊切除术 (TOUEC) 中 TO 的定义标准是无 30 天死亡率、无 30 天术后并发症、30 天内无再入院、住院时间≤ 7 天（第 75 个百分位数）以及完全腹腔镜手术。满足所有这些条件的患者被视为呈现 TOUEC。其中包括 1246 例 ACC 早期紧急胆囊切除术。总共有 789 名患者 (63.3%) 达到了所有 TOUEC 参数，而 457 名患者 (36.6%) 未能达到一项或多项参数，被视为非 TOUEC。获得 TOUEC 的患者年龄较小，在所有分析的风险量表上得分均显着较低。在血清学测试中，TOUEC 患者的许多变量值均低于非 TOUEC 患者。 TOUEC 组复杂性胆囊炎的发生率较低。考虑到手术时间，较短的持续时间也与较高的到达 TOUEC 的概率相关。了解影响 TOUEC 的因素可以帮助我们提高教科书的成绩。