Laparoscopic cholecystectomy as a safe and effective treatment for severe acute cholecystitis.

Wilson, R. G.; Macintyre, I. M. C.; Nixon, S. J.; Saunders, Jimmy; Varma, J. S.; King, PM

doi:10.1136/bmj.305.6850.394

Cited by 121 publications

(69 citation statements)

References 10 publications

(1 reference statement)

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“…Açık kolesistektomi (7) ile karşılaştırıldığında, hastanede kalış süresinin kısalığı, daha iyi estetik sonuçlar, ameliyat sonrası daha az ağrı ve ileus nedeniyle kısa sürede yaygınlaşmış ve kolesistektomilerin önemli bir bölümünde altın standart haline gelmiştir (8,9) . Pediyatrik popülasyonda artan obezite sıklığı, daha fazla sayıda çocuğun total parenteral nutrisyon almış olması, yaygın antibiyotik kullanımı, ultrasonografinin yaygın kullanımı gibi nedenlerle çocuk cerrahları son yıllarda özellikle kolelitiazis nedeniyle daha fazla kolesistektomi yapmaktadır (10) .…”

Section: Introductionunclassified

Laparoscopic cholecystectomy

Emre¹,

Tekant²,

Şenyüz³

2016

Tccd

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Section: Introductionunclassified

Laparoscopic cholecystectomy

Emre¹,

Tekant²,

Şenyüz³

2016

Tccd

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“…This was due to concern that the inflammation associated with acute cholecystitis may render identification of the biliary ducts and vascular structures difficult, thereby increasing the risk of compli cations. Nevertheless, as more experience in laparoscopy was gained, an increasing number of patients with acute cholecystitis have been managed with this approach [10,11]. However, questions remain about its safety and cost effectiveness.…”

Section: Introductionmentioning

confidence: 99%

Differences in Outcome of Acute and Elective Laparoscopic Cholecystectomy

Kullman¹,

Borch²,

Svanvik³

et al. 1997

Dig Surg

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Background/Aims: To assess the differences in outcome of acute and elective laparoscopic cholecystectomy. Methods: Data from 630 consecutive patients who presented for laparoscopic cholecystectomy due to acute cholecystitis (n = 98) or non-acute gallstone disease (n = 532) were studied prospectively. Results: The conversion rate was significantly higher for acute cholecystitis (33%) than for non-acute gallstone disease (4%). For acute cholecystitis the timing of operation was crucial to the execution of a successful laparoscopic procedure. The existence of a learning curve was demonstrated by the fact that the mean operation room time for elective cholecystectomy decreased from 105 to 87 min between the first and the second half of the study time, whereas no significant decrease in operation room time was recorded for acute operations. For both acute and elective patients, complication rates were significantly higher among those over the age of 70 years. General complications, largely cardiopulmonary, were more frequent after acute operations (14%) than after elective operations (0.6%), whereas procedure-related complications were not significantly different between the 2 groups (8 and 6%, respectively). In addition, the overall postoperative morbidity increased significantly for both the acute and elective group if the laparoscopic procedure was converted to an open operation. Conclusion: It is too early to proclaim laparoscopic cholecystectomy as the procedure of choice in acute cholecystitis. However, a policy of reducing the delay of operation after the onset of symptoms may reduce the incidence of complications and conversion rate.

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“…[1] The pain is nevertheless a major clinical problem during the early recovery in the hospital with 10-50 % of patients experiencing persistent pain. Two to ten per cent suffer from severe chronic pain.…”

Section: Introductionmentioning

confidence: 99%