PMID: 19130340Jan 9, 2009Paper

Early laparoscopic cholecystectomy for acute cholecystitis

Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES
Ahmet TekinAdil Kartal

Abstract

The aim of this study was to assess the clinical results of treatment by laparoscopic cholecystectomy (LC) in patients with acute cholecystitis. Between 1994 and 2006, LC was performed in 3876 patients in Selcuk University Meram Medicine Faculty. The clinical, biochemical, radiologic, and operative data of 182 (101 F, 81 M) consecutive patients with acute cholecystitis operated 3 days after the onset of symptoms were analyzed retrospectively to determine the complications and morbidity after operation. The conversion rate was 31 (17.03%) in acute cholecystitis. Postoperative length of stay was found as 4 days in the successful LC group and 7 days in the conversion group. For acute cholecystitis, we found a statistical difference between the successful LC group and the conversion group in terms of length of postoperative hospitalization time and gallbladder wall thickness. We identified the following factors as associated with conversion: male gender, pericholecystic collection seen on ultrasound, gangrenous cholecystitis, and gallbladder wall thickness >1 cm. LC is a safe approach in selected patients with acute cholecystitis. Male gender, pericholecystic collection seen on ultrasound, gangrenous cholecystitis, and gallbladder ...Continue Reading

References

Mar 1, 1991·American Journal of Surgery·A CuschieriH Troidl

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Citations

Jun 13, 2014·Hepatobiliary & Pancreatic Diseases International : HBPD INT·Feza Y KarakayaliGokhan Moray
Jul 3, 2013·The Cochrane Database of Systematic Reviews·Kurinchi Selvan GurusamyBrian R Davidson
May 7, 2013·The Medical Journal of Australia·Daniel P McGladeDouglas A Stupart
Oct 30, 2016·Asian Journal of Endoscopic Surgery·Hiromi TokumuraIchiro Yasuda
Jan 22, 2014·International Surgery·Alper Bilal OzkardeşMehmet Kılıç

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