Laparoscopic Cholecystectomy for Symptomatic Gallstones in Diabetic Patients

Bedirli, Abdülkadir; Sözüer, Erdoğan; Yüksel, Osman; Yılmaz, Zeki

doi:10.1089/109264201317054564

Cited by 18 publications

(25 citation statements)

References 13 publications

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“…We ensure that the coagulopathy, if present, is corrected before surgery. Unlike the study of Bedirli,16 which found that LC is associated with more morbidity and a higher conversion rate in patients with diabetes than in those with no diabetes, we found that while carrying out LC, the conversion rate was not significantly different between patients with diabetes mellitus and those without. High total white blood cell count and C-reactive protein level, signs of inflammation in univariate analysis but not in multivariate, predicate much higher conversion rates.…”

Section: Discussioncontrasting

confidence: 99%

Risk Factors Affecting Conversion in Patients Undergoing Laparoscopic Cholecystectomy

Zhang

Wang

et al. 2008

ANZ Journal of Surgery

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Section: Discussioncontrasting

confidence: 99%

Risk Factors Affecting Conversion in Patients Undergoing Laparoscopic Cholecystectomy

Zhang

Wang

et al. 2008

ANZ Journal of Surgery

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“…Few studies had found diabetes as a predictor of difficult laparoscopic cholecystectomy. 5,11 Kanaan SA, Murayama KM, in 2002 found that patients with a history of cardiovascular disease (hypertension) had an increased risk for conversion to open cholecystectomy in both the acute and chronic cholecystitis groups particularly in male sex.…”

Section: Discussionmentioning

confidence: 99%

Preoperative prediction of difficult laparoscopic cholecystectomy using a scoring system

Khetan

Yeola

2017

Int Surg J

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Background: Laparoscopic cholecystectomy (LC) has become gold standard for the surgical treatment of gallbladder disease. 2% to 15% of patients require conversion to open surgery for various reasons. Pre-operative prediction of “difficult laparoscopic cholecystectomy” may not only improve patient safety but also be useful in reducing the overall cost of therapy. The aim of this study is to study the factors determining the preoperative predictability of difficult laparoscopic cholecystectomy.Method: 30 cases of laparoscopic cholecystectomy operated by a single experienced surgeon. There are total 15 score from history, clinical and sonological findings. They were evaluated and scored on the basis of scoring system of Randhawa and Pujahari. Score up to 5 is defined as easy, 6-10 as difficult and 11-15 as very difficult.Result: Previous history of hospitalization for cholecystitis and increased gall bladder wall thickness were found statistically significant in predicting difficult LC.Conclusion: The scoring system had a positive prediction value for easy prediction of 81.9% and for difficult prediction of 75%.

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“…Diabetes mellitus (DM) has been consistently shown to be associated with CTO [18,25,42]. Diabetics undergoing LC have a 2.5 times higher risk for CTO than nondiabetic patients (OR = 2.5; 95% CI: 1.3-4.4, P = 0.003) [43].…”

Section: Actual Problems Of Emergency Abdominal Surgerymentioning

confidence: 99%

Risk Factors and Predictive Models for Conversion of Laparoscopic Cholecystectomy to Open Surgery, and Surgical Quality Outcome Measures

Beliaev¹,

Booth²

2016

Actual Problems of Emergency Abdominal Surgery

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Background: Laparoscopic cholecystectomy is the preferred surgical operation for symptomatic gallstone disease. Conversion of laparoscopic cholecystectomy to open surgery is used to prevent intra-abdominal organ injury, for open common bile duct exploration and to repair intra-abdominal organ injury. Objective:The objective of this chapter is to review risk factors and predictive models for conversion of laparoscopic cholecystectomy to open surgery, and surgical quality outcome measures. Methods:A narrative literature review using Pubmed, Medline, Cochrane library databases and Google search engine is described.Results: From the literature review, patient-and surgeon-related risk factors and predictive models for conversion of laparoscopic cholecystectomy to open surgery were identified. Patient-dependent risk factors included preoperative and intraoperative variables. Current conversion of laparoscopic cholecystectomy to open surgery predictive models use only patient-dependent risk factors and were not tested on an independent sample of patients. Surgical quality outcome measures incorporate an association between conversion and intra-abdominal organ injury that demonstrates that conversion was used as an emergency strategy to repair injuries rather than a safety measure. Conclusion:Conversion of laparoscopic cholecystectomy to open surgery risk stratification based on patient-and surgeon-dependent variables may allow a better management of the patient to keep conversion at low rates and to maintain benefits of minimally invasive surgery.

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Laparoscopic Cholecystectomy for Symptomatic Gallstones in Diabetic Patients

Abstract: Although they had the same symptoms and laboratory findings, laparoscopic cholecystectomy in diabetic patients is associated with more morbidity and a higher conversion rate than in nondiabetic patients.

Cited by 18 publications

References 13 publications

Risk Factors Affecting Conversion in Patients Undergoing Laparoscopic Cholecystectomy

Risk Factors Affecting Conversion in Patients Undergoing Laparoscopic Cholecystectomy

Preoperative prediction of difficult laparoscopic cholecystectomy using a scoring system

Risk Factors and Predictive Models for Conversion of Laparoscopic Cholecystectomy to Open Surgery, and Surgical Quality Outcome Measures

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