Risk stratification for complications of laparoscopic cholecystectomy based on associations with sociodemographic and clinical variables in a public hospital

Corradi, M; D’Ávila, Ronaldo; Duim, Etienne; Rodrigues, Cibele Isaac Saad

doi:10.1016/j.amjsurg.2019.05.005

Cited by 3 publications

(6 citation statements)

References 25 publications

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“…In one paper it was noticed that the mortality was increased only in patients who underwent laparoscopic surgery [13]. The authors of one paper did not observe the correlation between diabetes and increased mortality [18].…”

Section: Complicationsmentioning

confidence: 99%

“…In 19 of the analyzed articles, diabetes was discussed as an independent risk factor for acute cholecystitis and in 14 of them diabetes was confirmed as an independent risk factor for developing this disease [1, [8][9][10][11][12][13][14][15][16][17][18][19]. Two studies analyzed this correlation in detail and in one it was significant only for women (p < 0,001), while in another it was significant only for men (p < 0,001) [20][21].…”

Section: Complicationsmentioning

confidence: 99%

“…Elective surgery before the onset of symptoms of acute cholecystitis is recommended in 3 papers [15,44,45]. Whereas in 3 other articles such recommendation is not made [18,22,48]. Three authors discuss routine screening for cholelithiasis [15,22,45], and two of those recommend it [15,45].…”

Section: Recommendationsmentioning

confidence: 99%

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Acute cholecystitis in patients with diabetes mellitus - systematic review

Łącka¹,

Spychalski²,

Dobrzycka³

et al. 2020

Eur J Trans Clin Med

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Introduction: According to the WHO, an estimated 422 million people are suffering from diabetes worldwide. Among them, the incidence of cholelithiasis is higher than in the healthy population. The aim of this literature review was to summarize the available evidence about acute cholecystitis in patients with diabetes. Materials and methods: This study adhered to the PRISMA guidelines. The course of hospitalization of patients with and without diabetes who underwent cholecystectomy due to acute cholecystitis was compared.Following information was abstracted from original studies: general study information, patient characteristics, complications, and recommendations for patients with diabetes. Results: Initial search provided 1632 results. After full text assessment, 40 studies met the inclusions criteria. Operative and postoperative complication rates were significantly higher among the diabetic patients. Diabetes is a risk factor for conversion from laparoscopic to open cholecystectomy method. The authors' opinions on elective surgery before the onset of acute cholecystitis symptoms are divided. Conclusions: Diabetic patients are at greater risk of developing complications. An individualized screening and treatment approach, as well as proper preparation of the diabetic patient for an elective cholecystectomy could have a positive effect on the outcome. However, the low quality of the data from the systematic review does not allow for meta-analysis, which is why we cannot draw strong conclusions.

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Section: Complicationsmentioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

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Acute cholecystitis in patients with diabetes mellitus - systematic review

Łącka¹,

Spychalski²,

Dobrzycka³

et al. 2020

Eur J Trans Clin Med

View full text Add to dashboard Cite

show abstract

“…In our analysis the costs of hospitalisation were greater in emergency intervention both in diabetic and non-diabetic patients. It was reported numerous times, that elective surgery carries lower risk of complications [12,15,18,19]. Perhaps this is due to the fact that patients undergoing elective surgery not only do not have a fast progressing emergency condition but also are better prepared for surgery i.e.…”

Section: Discussionmentioning

confidence: 99%

“…Costs of emergency surgery in diabetic patients are significantly higher (p = 0.015) than in non-diabetic. This is due to increased levels of complications intraoperatively and in postoperative period in diabetic patients with acute cholecystitis in comparison to-non diabetics [11,19,[21][22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Costs of elective vs emergency cholecystectomy in diabetic patients

Łącka¹,

Spychalski²,

Obłój³

et al. 2020

Eur J Trans Clin Med

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Evaluation of the effect of previous endometriosis surgery on clinical and surgical outcomes of subsequent endometriosis surgery

Tummers,

Peltenburg,

Metzemaekers

et al. 2023

Arch Gynecol Obstet

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Purpose Patients often undergo repeat surgery for endometriosis, due to recurrent or residual disease. Previous surgery is often considered a risk factor for worse surgical outcome. However, data are scarce concerning the influence of subsequent endometriosis surgery. Methods A retrospective study in a centre of expertise for endometriosis was conducted. All endometriosis subtypes and intra-operative steps were included. Detailed information regarding surgical history of patients was collected. Surgical time, intra-operative steps and major post-operative complications were obtained as outcome measures. Results 595 patients were included, of which 45.9% had previous endometriosis surgery. 7.9% had major post-operative complications and 4.4% intra-operative complications. The patient journey showed a median of 3 years between previous endometriosis surgeries. Each previous therapeutic laparotomic surgery resulted on average in 13 additional minutes (p = 0.013) of surgical time. Additionally, it resulted in more frequent performance of adhesiolysis (OR 2.96, p < 0.001) and in a higher risk for intra-operative complications (OR 1.81, p = 0.045), however no higher risk for major post-operative complications (OR 1.29, p = 0.418). Previous therapeutic laparoscopic endometriosis surgery, laparotomic and laparoscopic non-endometriosis surgery showed no association with surgical outcomes. Regardless of previous surgery, disc and segmental bowel resection showed a higher risk for major post-operative complications (OR 3.64, p = 0.017 respectively OR 3.50, p < 0.001). Conclusion Previous therapeutic laparotomic endometriosis surgery shows an association with longer surgical time, the need to perform adhesiolysis, and more intra-operative complications in the subsequent surgery for endometriosis. However, in a centre of expertise with experienced surgeons, no increased risk of major post-operative complications was observed.

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Risk stratification for complications of laparoscopic cholecystectomy based on associations with sociodemographic and clinical variables in a public hospital

Cited by 3 publications

References 25 publications

Acute cholecystitis in patients with diabetes mellitus - systematic review

Acute cholecystitis in patients with diabetes mellitus - systematic review

Costs of elective vs emergency cholecystectomy in diabetic patients

Evaluation of the effect of previous endometriosis surgery on clinical and surgical outcomes of subsequent endometriosis surgery

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