Outcome of laparoscopic cholecystectomy conversion: is the surgeon’s selection needed?

Donkervoort, Sandra; Dijksman, Lea M.; Nes, L.C.F. de; Versluis, Pieter G.; Derksen, Joris; Gerhards, Michael F.

doi:10.1007/s00464-012-2189-4

Cited by 22 publications

(22 citation statements)

References 33 publications

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“…Donkervoort et al 6 and Lee et al 20 have described the male gender as a risk factor for complication in patients undergoing LC. According to Van der Steeg et al, 21 the male gender, age (.65 years), acute cholecystitis and recent obstructive jaundice represent independent predictive factors for conversion in patients undergoing LC.…”

Section: Discussionmentioning

confidence: 99%

“…This is in accordance with existing data. 6 Timing of LC for AC has been controversially discussed. [22][23] In the past, many authors argued that early LC for AC is associated with a high risk of complications.…”

Section: Discussionmentioning

confidence: 99%

“…[2][3][4] The surgical challenges in LC, especially converting from laparoscopic to open surgery has been a matter of concern. [5][6][7][8][9] The gender-associated risk of complication in laparoscopic cholecystectomy has not been clearly defined. 2,[10][11] The aim of this study was to investigate whether the male gender is an independent risk factor for complication in patients undergoing laparoscopic cholecystectomy for acute cholecystitis (AC).…”

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confidence: 99%

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Is the Male Gender an Independent Risk Factor for Complication in Patients Undergoing Laparoscopic Cholecystectomy for Acute Cholecystitis?

Ambe

Köhler²

2015

International Surgery

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This paper was designed to investigate the gender dependent risk of complication in patients undergoing laparoscopic cholecystectomy for acute cholecystitis. Laparoscopic cholecystectomy is the standard procedure for benign gallbladder disorders. The role of gender as an independent risk factor for complicated laparoscopic cholecystectomy remains unclear. A retrospective single-center analysis of laparoscopic cholecystectomies performed for acute cholecystitis over a 5-year period in a community hospital was performed. Within the period of examination, 1884 laparoscopic cholecystectomies were performed. The diagnosis was acute cholecystitis in 779 cases (462 female, 317 male). The male group was significantly older (P ¼ 0.001). Surgery lasted significantly longer in the male group (P ¼ 0.008). Conversion was done in 35 cases (4.5%). There was no significant difference in the rate of conversion between both groups. However the rate of conversion was significantly higher in male patients . 65 years (P ¼ 0.006). The length of postoperative hospital stay was significantly longer in the male group (P ¼ 0.007), in the group . 65 years (P ¼ 0.001) and following conversion to open surgery (P ¼ 0.001). The male gender was identified as an independent risk factor for prolonged laparoscopic cholecystectomy on multivariate analysis. The male gender could be an independent risk factor for complicated or challenging surgery in patients undergoing laparoscopic cholecystectomy for acute cholecystitis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Is the Male Gender an Independent Risk Factor for Complication in Patients Undergoing Laparoscopic Cholecystectomy for Acute Cholecystitis?

Ambe

Köhler²

2015

International Surgery

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“…Male sex and acute cholecystitis have been identified as independent predictors of procedure conversion during LC. [21][22][23] Fourteen patients (7%) experienced complications (Table 3). Our complication rate is comparable with those in 2 large-scale studies focusing on complications after LC.…”

Section: Commentsmentioning

confidence: 98%

Is routine single-incision laparoscopic cholecystectomy feasible? A retrospective observational study

Chuang

Yang

Chang

et al. 2015

The American Journal of Surgery

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“…12,[21][22][23] There is little doubt that once such a programme of ALC is well established, surgical trainees will acquire sufficient experience to undertake the ALCs safely with minimal supervision, 23 however, in its early stages considerable consultant-led support will be required. 24 If ALC were to be offered to all patients suitable for surgery, an estimated 2 to 3 cholecystectomies per day could be expected.…”

Section: Feasibility Of Offering Alc To All Patientsmentioning

confidence: 99%

Economic Implications of Providing Emergency Cholecystectomy for All Patients With Biliary Pathology

Seager

Hall

Dennison

et al. 2015

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Outcome of laparoscopic cholecystectomy conversion: is the surgeon’s selection needed?

Abstract: Male gender, age older than 65 years, BMI exceeding 25 kg/m(2), HCBD, and surgery by a non-GI surgeon are predictive for conversion. A preoperative triage for surgeon selection based on risk factors and a HCBD is proposed to optimize conversion outcome.

Cited by 22 publications

References 33 publications

Is the Male Gender an Independent Risk Factor for Complication in Patients Undergoing Laparoscopic Cholecystectomy for Acute Cholecystitis?

Is the Male Gender an Independent Risk Factor for Complication in Patients Undergoing Laparoscopic Cholecystectomy for Acute Cholecystitis?

Is routine single-incision laparoscopic cholecystectomy feasible? A retrospective observational study

Economic Implications of Providing Emergency Cholecystectomy for All Patients With Biliary Pathology

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