Evaluation of preoperative sonography in acute cholecystitis to predict technical difficulties during laparoscopic cholecystectomy

Cho, Kyung Soo; Baek, Seung Yon; Kang, Byung Chul; Choi, Hye Young; Han, Ho Seong

doi:10.1002/jcu.20001

Cited by 49 publications

(45 citation statements)

References 14 publications

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“…Operation time is a reliable measurement of the technical difficulty in laparoscopic surgery, and many have studied operation time as a factor for assessing the technical difficulty of various laparoscopic surgeries. [10][11][12] Some investigators have shown that obesity is a factor for prolonged operative time in laparoscopic surgery such as a laparoscopic cholecystectomy 13 and laparoscopyassisted distal gastrectomy, 14 however, in our study LA showed no such correlation. Our results concur with those of Enochsson et al 15 who reported that obesity does not affect LA operating times.…”

Section: Discussioncontrasting

confidence: 50%

Influence of CT-measured Appendiceal Diameter on Operation Time of Laparoscopic Appendectomy

Enjoji

Enomoto

Kikuchi

et al. 2011

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Laparoscopic appendectomy (LA) is considered as an uncomplicated procedure, so residents are frequently chosen as LA operators. The aim of this study was to identify preoperative factors influencing operation time in LA. We proposed patient selection criteria to help choose an adequately skilled resident for performing LA. The medical records of 117 patients who underwent LA between April 2008 and August 2009 were retrospectively reviewed. Univariate and multivariate analyses were performed to identify factors influencing operation time. Accordingly multivariate analysis indicated that operation time was significantly influenced by C-reactive protein and computed tomography-measured appendiceal diameter. Appendiceal diameter was a better predicting factor for differentiating the longer and shorter operation time groups. The cut-off value for appendiceal diameter was 12 mm. We concluded that preoperative computed tomography findings of appendiceal diameter of more than 12 mm in patients suggested that LA would be technically challenging for the less experienced resident.

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Section: Discussioncontrasting

confidence: 50%

Influence of CT-measured Appendiceal Diameter on Operation Time of Laparoscopic Appendectomy

Enjoji

Enomoto

Kikuchi

et al. 2011

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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“…Technical difficulties were assessed as present (score of 1) or absent (score of 0) for each of the following 5 operative steps: (1) access into the peritoneal cavity, (2) dissection of adhesions from the GB, (3) dissection of the triangle formed by the common bile duct, cystic duct, and liver (Calot triangle), (4) dissection of the GB bed, and (5) extraction of the GB from the abdominal cavity. All GB specimens were sent for histopathology analysis [614]. …”

Section: Methodsmentioning

confidence: 99%

Postcholecystectomy syndrome: symptom clusters after laparoscopic cholecystectomy

et al. 2018

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PurposePostcholecystectomy syndrome (PCS) is characterized by abdominal symptoms following gallbladder removal. However, there is no consensus for the definition or treatment for PCS. The purpose of this study was to define PCS among various symptoms after laparoscopic cholecystectomy, and to identify risk factors affecting PCS.MethodsThis study was conducted at Dongguk University Ilsan Hospital and Chung-Ang University Hospital (2012–2013). Outcomes were assessed using European Organization for Research and Treatment of Cancer QLQ–C30 questionnaire. Symptom cluster for determining PCS was made by factor analysis. Cluster analysis evaluating risk factors of PCS was made by Ward methods and Dentogram.ResultsFactor analysis revealed three distinct symptom clusters, those are ‘insomnia and financial difficulties (eigenvalue, 1.707; Cronbach α, 0.190),’ ‘appetite loss and constipation (eigenvalue, 1.413; Cronbach α, 0.480),’ and ‘right upper quadrant (RUQ) pain and diarrhea (eigenvalue, 1.245; Cronbach α, 0.315).’ Among these symptom clusters, the cluster of ‘RUQ pain and diarrhea’ was determined as PCS. However, we could not find any risk factors between high symptomatic group and low symptomatic group.ConclusionPCS could consist of RUQ pain and diarrhea. Well-designed prospective trials are needed to determine risk factors of PCS.

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“…Preoperative ultrasonography (US) is a valuable method that may indicate the surgical difficulties and predict the potential conversion from LC to OS (7,8). We believe that indicating the existence of conversion risk in US reports will increase essential harmony between clinics.…”

Section: Introductionmentioning

confidence: 98%

Role of preoperative sonography in predicting conversion from laparoscopic cholecystectomy to open surgery

Tosun

Hancerliogullari

Şerifoğlu

et al. 2015

European Journal of Radiology

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Evaluation of preoperative sonography in acute cholecystitis to predict technical difficulties during laparoscopic cholecystectomy

Abstract: Based on our experience, preoperative determination of GB volume, GB wall thickness, and presence of color Doppler signals in the GB wall in patients with acute cholecystitis helps predict technical difficulties during laparoscopic cholecystectomy.

Cited by 49 publications

References 14 publications

Influence of CT-measured Appendiceal Diameter on Operation Time of Laparoscopic Appendectomy

Influence of CT-measured Appendiceal Diameter on Operation Time of Laparoscopic Appendectomy

Postcholecystectomy syndrome: symptom clusters after laparoscopic cholecystectomy

Role of preoperative sonography in predicting conversion from laparoscopic cholecystectomy to open surgery

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