Surgical outcomes of open cholecystectomy in the laparoscopic era

Wolf, Andrea; Nijsse, Bram A.; Sokal, Suzanne M.; Chang, Yuchiao; Berger, David L.

doi:10.1016/j.amjsurg.2008.05.010

Cited by 86 publications

(77 citation statements)

References 18 publications

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“…7,13 A recent study from the Veterans Health Administration hospitals reported an open cholecystectomy rate of 9% between years 2005 and 2008, 7 similar to the rate reported from a contemporary review of an academic medical center. 13 To understand this observation better, we compared the percentage of ASA category III (severe systemic disease) patients in CONV to open cholecystectomy cases and found that the rate of ASA III patients was significantly greater in open cholecystectomies than in the CONV group (49% vs 32%, open versus CONV respectively; P < .05), indicating that our institution favored the open approach for ill patients. This bias in our study needs to be considered when looking at this data.…”

Section: Discussionmentioning

confidence: 64%

“…Despite improved surgical technology and increased surgical skills with laparoscopic technique, conversion rates of up to 10% continue to be reported. [7][8][9][10][11][12][13][14] Several patient-related factors have been identified that are associated with increased risk of conversion, including male gender and older age. 11,[15][16][17] Intraoperative factors, however, are the final determinant of why a surgeon converts a laparoscopic case to open.…”

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confidence: 99%

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Laparoscopic Cholecystectomy: What is the Price of Conversion?

Lengyel

Ashley

Panizales

et al. 2011

Journal of Surgical Research

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Background-Laparoscopic cholecystectomy (LC) is the gold standard procedure for gallbladder removal. Conversion to an open procedure is sometimes deemed necessary, especially in complex cases in which a prolonged laparoscopic operative time is anticipated. A prolonged LC case is thought to be associated with increased complications and cost and therefore generally discouraged. The purpose of this study was to test this assumption, and compare outcomes and cost of converted and prolonged LC cases.

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Section: Discussionmentioning

confidence: 64%

mentioning

confidence: 99%

Laparoscopic Cholecystectomy: What is the Price of Conversion?

Lengyel

Ashley

Panizales

et al. 2011

Journal of Surgical Research

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“…In this manner, a more careful approach can be achieved through direct palpation or observation (5). Many studies report the rate of conversion to open procedure in LC as 9.5% (6)(7)(8). In this study, the most common procedural difficulty was adhesion and bleeding in patients with ERCP.…”

Section: Discussionmentioning

confidence: 87%

Does endoscopic retrograde cholangiopancreatography have a negative effect on laparoscopic cholecystectomy?

Çakır

Küçükkartallar

Tekın

et al. 2015

UCD

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Objective:We have observed that patients who had undergone endoscopic retrograde cholangiopancreatography (ERCP) had some difficulties with laparoscopic cholecystectomy procedures. Through a retrospective study, we planned to compare the surgical procedures between patients who had undergone ERCP and those who had not in order to clarify this. Material and Methods:The results of 122 patients who had undergone ERCP because of choledocholithiasis before undergoing laparoscopic cholecystectomy procedures between 2008 and 2011 were compared to the values of 2140 patients operated because of cholelithiasis only within the same period.Results: Among the patients who underwent surgical procedures following ERCP, 80 (65%) were female and 42 (35%) were male. The average age of the patients was 51.9 years (range: 20-83 years). The operation period after the procedure was 30.14 days (range: 1-93 days). Although the hospitalization period was 4.67 days (range: 1-22 days), the postoperative hospitalization period was 2.68 days (range: 1-15 days). Regarding the difficulty of operation, adhesion in 58 (47.5%) patients, bleeding in two (1.6%) patients, and conversion to open procedure in 12 (9.8) patients were observed. In two (1.6%) patients, bleeding and biliary fistula were the reasons for re-operation. Conclusion:Laparoscopic cholecystectomy is more complicated in patients who underwent ERCP.

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“…Studies have shown that mean operation time in the first years of LC ' s implementation was around 2 hours while this decreased over time and has reduced to 30 minutes. The increase in the surgeon's experience has impact in reducing the operating time [4]. Explaining these positive changes just by experience is not adequate.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Nurse’s Experience on Operation Time in Laparoscopic Cholecystectomy

Kozanhan¹

2015

Ann Clin Anal Med

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ÖzetAmaç: Çalışmamızda hemşire tecrübesinin laparoskopik kolesistektomi ameliyatının süresi üzerine etkisini belirlemeyi amaçladık. Gereç ve Yöntem: Konya Eğitim ve Araştırma Hastanesi genel cerrahi ameliyathanesinde, on yıl-dan daha fazla laparoskopik ameliyat tecrübesi olan, bir genel cerrahi uzmanının, Ocak 2010-2013 tarihleri arasında yaptığı laparoskopik kolesistektomi vakalarının dosyaları geriye dönük olarak tarandı. Ultrasonografide safra kesesinde taş ve/veya polipi olduğu için ameliyat edilen hastalar çalışmaya alındı. Hastaların yaş, cins, safra kesesi patolojisi, ASA skoru, ameliyatı asiste eden hemşire ve ameliyat süresine ait bilgiler elde edildi. Ameliyatı asiste eden hemşireler, laparoskopik ameliyat tecrübesi 10 yıldan fazla olan tecrübeli dört hemşire (grup 1), 5 yıldan az tecrübesi olan dört hemşire (grup 2) olarak iki gruba ayrıldı. Veriler Excel ortamında kaydedildi, istatistiki hesaplama için SPSS 18.0 programı kullanıldı. P<0.05 anlamlı kabul edildi. Bulgular: Çalışmamıza dahil edilen 197 hastanın 38(%19) i erkek, 159(%81) u kadın, 17(%9) si 65 yaş üstünde, 180(%91) i altında olup, yaş ortalaması 46,7±13,8 idi. Tecrübeli hemşireler 104(%53) ameliyatı, az tecrübeli hemşireler 93(%47) ameliyatı asiste etmişlerdi. Tüm ameliyatlar için ortalama ameliyat süresi 63,2±20,1 dakika idi. Bu süre tecrübeli hemşire grubunda 51,5±9,0 dakika, az tecrübeli hemşire grubunda 73,0±5,6 dakika olarak tespit edildi. Aradaki fark anlamlı (P<0.05) idi. ASA kriterleri ve hasta yaşının ameliyat süresi üzeri-ne etkisi olmakla birlikte aradaki fark (P>0.05) anlamlı değildi. Tartışma: Laparoskopik kolesistektomide ameliyat hemşiresinin tecrübeli olması ameliyat süresini kısaltmaktadır. Anahtar KelimelerLaparoskopik Kolesistektomi; Hemşire Tecrübesi; Ameliyat Süresi Abstract Aim: The objective of the present study is to determine the impact of nurses experience's on operation time in laparoscopic cholecystectomy(LC). Material and Method: Data collected retrospectively in Konya Training and Research Hospital, by reviewing the files of LC cases, between January 2010-2013, operated by general surgeon whom has more than ten years of experience in laparoscopic surgery. Patients who has gallbladder polyps and/or gallstones on ultrasonography were included in the study. Age, sex, gall bladder pathology, ASA score, duration of surgery and surgical nurse who assisted surgery were obtained from hospital automation system. Nurses were divided into two groups, (group 1) having more than 10 years of experience in laparoscopic surgery, (group 2) having less than 5 years experience in laparoscopic surgery. Statistical analysis was performed using SPSS v.18.0. P value less than 0.05 was considered statistically significant. Results: 197 patients included in the study, 38(19%) were male, 159(81%) were female, 17(9%) were above 65 years of age, 180(91%) were under 65 years of age, mean age of patients was 46,7±13,8 years. 104(%53) patients' operation was assisted by experienced nurses while 93(%47) patients' operation was assisted by l...

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Surgical outcomes of open cholecystectomy in the laparoscopic era

Cited by 86 publications

References 18 publications

Laparoscopic Cholecystectomy: What is the Price of Conversion?

Laparoscopic Cholecystectomy: What is the Price of Conversion?

Does endoscopic retrograde cholangiopancreatography have a negative effect on laparoscopic cholecystectomy?

The Impact of Nurse’s Experience on Operation Time in Laparoscopic Cholecystectomy

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