PMID: 8939838Dec 1, 1996Paper

Acute cholecystitis. Does the clinical diagnosis correlate with the pathological diagnosis?

Surgical Endoscopy
R J FitzgibbonsK L Sims

Abstract

Most of the literature dealing with the surgical management of acute cholecystitis bases patient selection on pathological diagnosis, either exclusively or using it as a major selection criteria or as a confirmation of diagnosis. The purpose of this study was to examine the correlation between preoperative clinical findings, intraoperative gross findings, and postoperative pathological findings. A retrospective review of 493 consecutive laparoscopic cholecystectomies performed by a single surgeon (RJF) in a single institution was done. Four different sets of criteria were used to define four groups of patients as having acute cholecystitis: (1) preoperative acute cholecystitis based on defined criteria (PA); (2) intraoperative gross findings of acute or subacute cholecystitis based on surgeon assessment of inflammation (IA); (3) initial pathological evaluation by a staff pathologist (IP); and (4) expert pathological (EP) review using strictly defined histological criteria. Of 41 patients, 40 (97.6%) were classified as having acute cholecystitis by IA, 21 (51.2%) by IP, and 17 (41.5%) by EP. Of the 75 patients classified as having acute cholecystitis by IA, 40 (53.0%) were classified acute by PA, 34 (45. 0%) by IP, and 17 (22.7%...Continue Reading

Citations

Dec 31, 2002·JAMA : the Journal of the American Medical Association·Robert L TrowbridgeKaveh G Shojania
Jan 12, 2013·Journal of Hepato-biliary-pancreatic Sciences·Yasutoshi KimuraYuichi Yamashita
Apr 4, 2013·Surgical Endoscopy·Giuseppe BorzellinoMichele Genna
Sep 25, 2015·Journal of Clinical Ultrasound : JCU·Giuseppe BorzellinoMichele Genna
Dec 18, 2019·ANZ Journal of Surgery·Chu Luan NguyenThomas J Hugh
Jul 16, 2010·Gastroenterology Research and Practice·Wael N YacoubRodney J Mason
Feb 17, 2005·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Debashish Bhattacharya, Basil J Ammori
Mar 13, 2012·Surgical Endoscopy·Benoit NavezUNKNOWN Belgian Group for Endoscopic Surgery (BGES) and the Hepatobiliary and Pancreatic Section (HBPS) of the Royal Belgian Society

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