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Early Laparoscopic Cholecystectomy with Continuous Pressurized Irrigation and Dissection in Acute Cholecystitis
Joint Authors
Yıldırım, U. M.
Cetin, H. Y.
Alpdoğan, Özcan
Yoldaş, Ömer
Karabuğa, Türker
Özsan, İsmail
Aydın, Ünal
Source
Gastroenterology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-02-24
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
The aim of this study was to evaluate the preliminary results of a new dissection technique in acute cholecystitis.
Material and Method.
One hundred and forty-nine consecutive patients with acute cholecystitis were operated on with continuous pressurized irrigation and dissection technique.
The diagnosis of acute cholecystitis was based on clinical, laboratory, and radiological evidences.
Age, gender, time from symptom onset to hospital admission, operative risk according to the American Society of Anesthesiologists (ASA) score, white blood cell count, C-reactive protein test levels, positive findings of radiologic evaluation of the patients, operation time, perioperative complications, mortality, and conversion to open surgery were prospectively recorded.
Results.
Of the 149 patients, 87 (58,4%) were female and 62 (41,6%) were male.
The mean age was 46.3 ± 6.7 years.
The median time from symptom onset to hospital admission 3.2 days (range, 1–6).
There were no major complications such as bile leak, common bile duct injury or bleeding.
Subhepatic liquid collection occurred in 3 of the patients which was managed by percutaneous drainage.
Conversion to open surgery was required in four (2,69%) patients.
There was no mortality in the study group.
Conclusion.
Laparoscopic cholecystectomy with continuous pressurized irrigation and dissection technique in acute cholecystitis seems to be an effective and reliable procedure with low complication and conversion rates.
American Psychological Association (APA)
Özsan, İsmail& Yoldaş, Ömer& Karabuğa, Türker& Yıldırım, U. M.& Cetin, H. Y.& Alpdoğan, Özcan…[et al.]. 2015. Early Laparoscopic Cholecystectomy with Continuous Pressurized Irrigation and Dissection in Acute Cholecystitis. Gastroenterology Research and Practice،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1064107
Modern Language Association (MLA)
Özsan, İsmail…[et al.]. Early Laparoscopic Cholecystectomy with Continuous Pressurized Irrigation and Dissection in Acute Cholecystitis. Gastroenterology Research and Practice No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1064107
American Medical Association (AMA)
Özsan, İsmail& Yoldaş, Ömer& Karabuğa, Türker& Yıldırım, U. M.& Cetin, H. Y.& Alpdoğan, Özcan…[et al.]. Early Laparoscopic Cholecystectomy with Continuous Pressurized Irrigation and Dissection in Acute Cholecystitis. Gastroenterology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1064107
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1064107