Acute cholecystitis - early or delayed cholecystectomy

Petakovic, Goran; Korica, Milan; Gavrilovic, Sava

doi:10.2298/mpns0204135p

Cited by 2 publications

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“…The significant difference in the frequency of conversions in male patients might be associated with a longer period of disease and a higher number of attacks treated conservatively before the surgery was considered (19,20). Therefore, the intensity and frequency of omental adhesions with the gall-bladder and more difficult anatomical identification might convince the operating surgeon to perform conversion.…”

Section: Discussionmentioning

confidence: 99%

Factors Influencing Frequency of Conversion During Laparoscopic Cholecystectomy

Skonieczny¹,

Pytka²,

Stefaniak³

et al. 2008

Polish Journal of Surgery

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The aim of the study was to evaluate factors influencing the frequency of conversion during laparoscopic cholecystectomy; to observe dynamic trends concerning frequency of classic versus laparoscopic cholecystectomies; and to evaluate correlations between the experience of a surgeon and conversion incidence. The main issues evaluated were: dynamic changes in frequency of laparoscopic versus classic cholecystectomies; frequency of conversions, reasons for conversion; correlation between experience of a surgeon and conversion incidence; and demographic data. Results. Out of 3337 patients, there were 2390 (71.62%) females and 947 (28.3%) males. For these patients, 1493 procedures (45.2%) were performed as classical, 1804 (54.06%) as laparoscopic, and 176 (9.7%) as converted from laparoscopy to open procedure. Sex distribution in the laparoscopic group was 1352:452 (F:M 74.9%:25.05%) and in the converted group was 107:69 (60.8%:39.2%). The main problems relating to conversion during laparoscopic cholecystectomy were: adhesions -108 (61.36%), gall-bladder perforations -8 (4.5%), tumors -10 (5.6%), technical problems -28 (15.9%), hemostasis problems -11 (6.25%), unrecognizable anatomical structures -24 (13.6%), complications of 'e fundo' cholecystectomy -24 (13.6%) and equipment problems -4 (2.27%). It was also observed that SHO's and surgeons with greater experience are performing more conversions during laparoscopic procedures. Conclusions. Laparoscopic cholecystectomy is a safe procedure recommended as a gold standard for gallbladder stone treatment. Frequency of this procedure is rising in centers in the Pomeranian region. The highest incidence of conversions is associated with adhesions after previous open operations. Consultants perform earlier conversion due to greater experience and better estimation of risk factors.

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Section: Discussionmentioning

confidence: 99%

Factors Influencing Frequency of Conversion During Laparoscopic Cholecystectomy

Skonieczny¹,

Pytka²,

Stefaniak³

et al. 2008

Polish Journal of Surgery

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Videolaparoscopic Cholecystectomy for Acute Cholecystitis: Analyzing Conversion Risk Factors

Río

Dell'Abate

Soliani

et al. 2006

Journal of Laparoendoscopic & Advanced Surgical Techniques

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We examined a series of 176 consecutive patients scheduled for videolaparoscopic cholecystectomy for acute cholecystitis to identify the independent parameters most likely to lead to conversion to laparotomy. This prospective study was conducted from June 2001 to December 2003 on 176 consecutive patients who were scheduled for videolaparoscopic cholecystectomy for acute cholecystitis. Of the 176 patients, 119 (group A) underwent videolaparoscopic chlecystectomy, and 57 (32.3%) were converted to laparotomy (group B). Patients were assessed for gender, age, time between onset of symptoms and surgery, previous surgery, ASA (American Society of Anesthesia) risk, leukocytosis, echotomographic findings, average operating time, intra- and post-operative complications, and conversion rate. Our study found that the parameters of age, ASA risk, duration of symptoms, leukocytosis, and operative time are independent conversion risk factors.

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Acute cholecystitis - early or delayed cholecystectomy

Cited by 2 publications

References 0 publications

Factors Influencing Frequency of Conversion During Laparoscopic Cholecystectomy

Factors Influencing Frequency of Conversion During Laparoscopic Cholecystectomy

Videolaparoscopic Cholecystectomy for Acute Cholecystitis: Analyzing Conversion Risk Factors

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