Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2005
Pre-operative prediction of difficult laparoscopic cholecystectomy using clinical and ultrasonographic parameters.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Nachnani Jagdish, Supe Avinash
Аннотация
BACKGROUND: Pre-operative prediction of a difficult laparoscopic cholecystectomy (LC) can help the patient as well as the surgeon prepare better for the intra-operative risk and the risk of conversion to open cholecystectomy.
METHODS: In 105 eligible patients who underwent LC during May 2001 to January 2003, patient characteristics, clinical history, laboratory data, ultrasonography results and intra-operative details were prospectively analyzed to determine predictors of difficult LC.
RESULTS: Of 105 patients, 12 (11.4%) required conversion to open cholecystectomy. Significant predictors of conversion were body mass index> 30 Kg/m2, male gender, past history of acute cholecystitis or acute pancreatitis, past history of upper abdominal surgery, and gall bladder wall thickness exceeding 3 mm.
CONCLUSION: Clinical and ultrasonograpic factors can help predict difficult LC and likelihood of conversion of LC to open surgery.
METHODS: In 105 eligible patients who underwent LC during May 2001 to January 2003, patient characteristics, clinical history, laboratory data, ultrasonography results and intra-operative details were prospectively analyzed to determine predictors of difficult LC.
RESULTS: Of 105 patients, 12 (11.4%) required conversion to open cholecystectomy. Significant predictors of conversion were body mass index> 30 Kg/m2, male gender, past history of acute cholecystitis or acute pancreatitis, past history of upper abdominal surgery, and gall bladder wall thickness exceeding 3 mm.
CONCLUSION: Clinical and ultrasonograpic factors can help predict difficult LC and likelihood of conversion of LC to open surgery.
Предметные рубрики MeSH
AdolescentAdultAge DistributionAgedAnalysis of VarianceCholecystectomy, LaparoscopicCholelithiasisFemaleFollow-Up StudiesHumansIncidenceIntraoperative ComplicationsLaparotomyMaleMiddle AgedPredictive Value of TestsPreoperative CareProbabilityProspective StudiesRisk AssessmentSeverity of Illness IndexSex DistributionTreatment OutcomeUltrasonography, Doppler