Early laparoscopic cholecystectomy for acute cholecystitis

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dc.contributor.authorTekin, Ahmet
dc.contributor.authorKucukkartallar, Tevfik
dc.contributor.authorBelviranli, Metin
dc.contributor.authorVatansev, Celalettin
dc.contributor.authorAksoy, Faruk
dc.contributor.authorTekin, Sakir
dc.contributor.authorKartal, Adil
dc.date.accessioned2020-03-26T17:38:17Z
dc.date.available2020-03-26T17:38:17Z
dc.date.issued2009
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBACKGROUND The aim of this study, was to assess the clinical results of treatment by laparoscopic cholecystectomy (LC) in patients with acute cholecystitis. METHODS Between 1994 and 2006, LC was performed in 3876 patients in Selcuk University Meram Medicine Faculty. The clinical, biochemical, radiologic, and operative data of 182 (101 F, 81 M) consecutive patients with acute cholecystitis operated 3 days after the onset of symptoms were analyzed retrospectively to determine the complications and morbidity after operation. RESULTS The conversion rate was 31 (17.03%) in acute cholecystitis. Postoperative length of stay was found as 4 days in the successful LC group and 7 days in the conversion group. For acute cholecystitis, we found a statistical difference between the successful LC group and the conversion group in terms of length of postoperative hospitalization time and gallbladder wall thickness. We identified the following factors as associated with conversion: male gender, pericholecystic collection L seen on ultrasound, gangrenous cholecystitis, and gallbladder wall thickness >1 cm. CONCLUSION LC is a safe approach in selected patients with acute cholecystitis. Male gender, pericholecystic collection seen on ultrasound, gangrenous cholecystitis, and gallbladder wall thickness >1 cm are associated with a higher risk of conversion to open surgery.en_US
dc.identifier.endpage66en_US
dc.identifier.issn1306-696Xen_US
dc.identifier.issue1en_US
dc.identifier.pmid19130340en_US
dc.identifier.startpage62en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/23434
dc.identifier.volume15en_US
dc.identifier.wosWOS:000262034300012en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.publisherTURKISH ASSOC TRAUMA EMERGENCY SURGERYen_US
dc.relation.ispartofULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAcute cholecystitisen_US
dc.subjectlaparoscopic cholecystectomyen_US
dc.titleEarly laparoscopic cholecystectomy for acute cholecystitisen_US
dc.typeArticleen_US

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