Minerva chirurgica · 1998
[Does previous gastric resection increase the risks of laparoscopic cholecystectomy? A case-control study].
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Pezzolla F, Lorusso D
Аннотация
BACKGROUND: Videolaparocholecystectomy is now regarded as the elective surgical technique for the treatment of cholelithiasis.
AIMS: In order to evaluate the feasibility and risks of videolaparocholecystectomy in patients with previous upper abdominal surgery the authors performed a retrospective case-control study in a group of 15 patients with cholelithiasis who had previously undergone gastrectomy for peptic ulcer (group A) and a control group of 15 patients with cholelithiasis who had not undergone upper abdominal surgery (group B).
METHODS: The control group was matched with the case group for age, sex, surgeon, indications for cholecystectomy (simple cholelithiasis, acute cholecystitis). The following parameters were compared in both groups: laparotomic conversion rate (33% in group A vs 20% in group B; p = 0.317), postoperative complications (0% in group A vs 13% in group B, p = 0.157), reoperations (0% in group A vs 13% in group B, p = 0.157), duration of surgery (median of 78 minutes in group A vs 80 minutes in group B; p = 1.000), duration of postoperative hospital stay (mean of 3 days in group A vs 3.5 days in group B, p = 0.507).
RESULTS: None of the differences between the variables examined was statistically significant.
CONCLUSIONS: The authors, conclude that videolaparocholecystectomy can be regarded as a safe and effective surgical technique for the treatment of cholelithiasis also in patients who have undergone previous upper abdominal surgery.
AIMS: In order to evaluate the feasibility and risks of videolaparocholecystectomy in patients with previous upper abdominal surgery the authors performed a retrospective case-control study in a group of 15 patients with cholelithiasis who had previously undergone gastrectomy for peptic ulcer (group A) and a control group of 15 patients with cholelithiasis who had not undergone upper abdominal surgery (group B).
METHODS: The control group was matched with the case group for age, sex, surgeon, indications for cholecystectomy (simple cholelithiasis, acute cholecystitis). The following parameters were compared in both groups: laparotomic conversion rate (33% in group A vs 20% in group B; p = 0.317), postoperative complications (0% in group A vs 13% in group B, p = 0.157), reoperations (0% in group A vs 13% in group B, p = 0.157), duration of surgery (median of 78 minutes in group A vs 80 minutes in group B; p = 1.000), duration of postoperative hospital stay (mean of 3 days in group A vs 3.5 days in group B, p = 0.507).
RESULTS: None of the differences between the variables examined was statistically significant.
CONCLUSIONS: The authors, conclude that videolaparocholecystectomy can be regarded as a safe and effective surgical technique for the treatment of cholelithiasis also in patients who have undergone previous upper abdominal surgery.