27 280

Cited 0 times in

Surgical outcomes of laparoscopic cholecystectomy for severe acute cholecystitis.

Authors
Kim, JH; Kim, JW; Jeong, IH; Choi, TY; Yoo, BM; Kim, MW; Kim, WH
Citation
Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 12(5):829-835, 2008
Journal Title
Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
ISSN
1091-255X1873-4626
Abstract
The aim of this study was to evaluate the surgical outcomes of laparoscopic cholecystectomy (LC) in patients who were diagnosed with severe acute cholecystitis (SAC) and to clarify the useful treatment modalities of SAC. Of 112 patients who presented SAC, we selected 99 patients and divided them into 3 groups: 37 patients who underwent preoperative percutaneous transhepatic gallbladder drainage (PTGBD; group 1), 62 patients with SAC but not indicated for PTGBD (group 2), and 59 patients with acute and chronic cholecystitis (group 3). The conversion rate was 2.7% (1/37) in group 1, 6.5% (4/62) in group 2, and 1.7% (1/59) in group 3. In groups 1 and 2, the postoperative stay and operative time were longer than those in group 3 with significant difference, respectively (P<0.05). In group 2, there was correlation not only between postoperative stay and age but also between postoperative stay and ASA class (P<0.05). In group 2, there was no correlation between time to operation and operative time and also between time to operation and postoperative stay, however, there was surprisingly significant correlation between time to operation and conversion rate in SAC (P=0.018). In conclusion, PTGBD should selectively be performed in patients with severe comorbidities rather than improving surgical outcomes of LC for severe acute cholecystitis. If patients are not indicated for PTGBD, an early laparoscopic cholecystectomy is recommended because it can decrease conversion rate, although it cannot decrease operative time and postoperative stay.
MeSH terms
AdultAgedAged, 80 and overBiliary TractCholecystectomyCholecystectomy, Laparoscopic*/adverse effectsCholecystitis, Acute/surgery*Cholecystitis, Acute/therapyDrainageFemaleHumansLength of StayMaleMiddle AgedPreoperative Care
DOI
10.1007/s11605-008-0504-0
PMID
18327625
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Surgery
Journal Papers > School of Medicine / Graduate School of Medicine > Gastroenterology
AJOU Authors
김, 지훈유, 병무김, 진홍김, 명욱김, 욱환
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse