Role of procalcitonin as a predictor in difficult laparoscopic cholecystectomy for acute cholecystitis case: A retrospective study based on the TG18 criteria

Wu, Tianchong; Luo, Minjun; Guo, Yuehua; Bi, Joffe; Guo, Yusheng; Bao, Shaowen

doi:10.1038/s41598-019-47501-0

Cited by 13 publications

(28 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, some surgical videos were not available, and it was difficult to evaluate these cases. Therefore, we adopted operative time and blood loss, which were thought to be the indicators of DLC in other studies 7,8 …”

Section: Discussionmentioning

confidence: 99%

“…There have been several studies addressing the prediction of DLC before surgery. Some authors concluded that serum C‐reactive protein (CRP) level or procalcitonin level reflect local inflammation and are useful in predicting DLC 6,7 . Other studies predicted DLC by assessing local inflammation using CT imaging or abdominal ultrasound examination 8,9 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Preoperative prediction of difficult laparoscopic cholecystectomy based on diffusion‐weighted magnetic resonance imaging

Kurata

Hayano

Ichinose

et al. 2021

Asian J Endoscop Surgery

View full text Add to dashboard Cite

Introduction Laparoscopic cholecystectomy is a common surgery with a varying difficulty level. Difficult laparoscopic cholecystectomy may be experienced by many surgeons. If difficult procedures are predicted preoperatively, surgeons may be able to plan the surgical approach and treatment accordingly. Studies have reported using blood and clinical imaging data to predict difficult cholecystectomy. However, to our knowledge, no studies have reported using MRI. The purpose of this study was to evaluate the usefulness of MRI as a predictor of difficult laparoscopic cholecystectomy. Methods We retrospectively evaluated 25 patients with cholecystitis or biliary colic who had undergone diffusion‐weighted whole‐body imaging before laparoscopic cholecystectomy. The apparent diffusion coefficient value of the cystic duct was measured and its relationship with operative time and blood loss was examined to assess the capacity of diffuse‐weighted whole‐body imaging to predict difficult cholecystectomy. Further, we collected blood data and compared its usefulness as a predictor. Results The apparent diffusion coefficient value of the cystic duct was significantly lower in patients with difficult laparoscopic cholecystectomy than in those with non‐difficult procedures (P = .00007). White blood cell count and serum C‐reactive protein level were significantly higher in patients with difficult cholecystectomy than in those with non‐difficult procedures (P = .035, .030). In the receiver operating characteristic analysis, the apparent diffusion coefficient value was the best predictor. Conclusion Our results suggest that the apparent diffusion coefficient value of the cystic duct is a predictor of difficult laparoscopic cholecystectomy. In the future, it may be useful to study changes in coefficient values over time to determine optimal surgical timing.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Preoperative prediction of difficult laparoscopic cholecystectomy based on diffusion‐weighted magnetic resonance imaging

Kurata

Hayano

Ichinose

et al. 2021

Asian J Endoscop Surgery

View full text Add to dashboard Cite

show abstract

“…24 Although Wu et al asserted that procalcitonin is an excellent predictor to understand the difficulty of laparoscopic cholecystectomy in patients diagnosed with acute cholecystitis, more evidence is needed on this issue. 25 In high-risk patients, mortality from laparoscopic cholecystectomy is mainly associated with overall mortality. 26 ASA scores of the patients were analyzed in our study in that respect.…”

Section: Complicationsmentioning

confidence: 99%

Which Is More Effective: Laparoscopic or Open Partial Cholecystectomy?

Kurtulus

Culcu

Degerli

2022

Journal of Laparoendoscopic & Advanced Surgical Techniques

View full text Add to dashboard Cite

Objective: In laparoscopic cholecystectomy, partial cholecystectomy is usually preferred when the anatomic exploration is not enough to prevent bile duct injury and other complications. Some surgeons choose laparoscopically to perform partial cholecystectomy, whereas others convert to open surgery. In this study, we aim to discuss and compare the effectiveness of laparoscopic partial cholecystectomy (LPC) and open partial cholecystectomy (OPC). Materials and Methods: The data of 4712 patients who underwent laparoscopic cholecystectomy between 2012 and 2020 were reviewed. A total of 98 patients who had partial cholecystectomy were included in the study. Patients were examined in two groups according to whether the procedure was open or laparoscopic. The first group of patients was named the OPC group (n = 52), and the second group of patients was the LPC group (n = 46). The data of the two groups were comparatively analyzed. Results: The mean operative time and the postoperative hospital stay, respectively, were 118.2 minutes and 4.8 days in the OPC group, and 87.3 minutes and 2.55 days in the LPC group (P < .005 and P = .005). It was found that wound infection decreased by 83.1% (P = .026; odds ratio [OR] = 0.169) in the LPC group compared with the OPC group, and the probability of developing incisional hernia decreased by 81.1% (P = .014; OR = 0.189). At least one complication was observed in 17 patients in the OPC group and in 7 patients in the LPC group (P = .045). The probability of developing complications in any patient was 63% lower in the LPC group (P = .049; OR = 0.370). Conclusions: The indications that cause the surgeon to perform partial cholecystectomy are inherently open to complications, regardless of the surgical technique used. However, the laparoscopic operation has advantages such as shorter operation time, shorter postoperative hospital stay, lower risk of wound infection and incisional hernia rate, and lower complication rate than the open procedure. However, if the team performing the surgery does not have enough experience, they should never hesitate to switch to open cholecystectomy.

show abstract

“…Patients undergoing laparoscopic cholecystectomy due to symptomatic cholelithiasis (with biliary colic) were included. Those patients with rheumatological diseases or concomitant acute infections 4 , preoperative diagnosis of gallbladder cancer 1 , Mirizzi syndrome 3 , acute cholecystitis 22 , choledocholithiasis 8 and acute pancreatitis6 were excluded from the study.…”

Section: Methodsmentioning

confidence: 99%

Papel de la proteína C reactiva y la velocidad de sedimentación globular en la predicción de colecistectomía laparoscópica dificultosa: su aplicación en un programa de residencia universitario

et al. 2020

View full text Add to dashboard Cite

Background: laparoscopic cholecystectomy is one of the most common procedures performed in general surgery. The anatomical differences of the gallbladder and the presence of factors related to inflammation can cause technical issues during surgery. Objective: the aim of the present study was to determine the value of C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) as predictors of difficult cholecystectomy and to evaluate their application during presurgical planning within a university residency program. Material and methods: we conducted a retrospective and analytical study in a tertiary university hospital. A total of 104 adult patients undergoing laparoscopic cholecystectomy due to symptomatic cholelithiasis between January and July 2019 were included. The patients were categorized into two groups: difficult cholecystectomy and non-difficult cholecystectomy. Results: there were statistically significant differences in ESR and CRP values between both groups (p < 0.001). Sensitivity of ESR was 100%, specificity was 45%, with a PPV of 40% and NPV of 100%. Sen- sitivity of CRP was 87.5%, specificity was 86.3%, with a PPV of 70% and NPV of 95%. Both parameters were elevated in 14 of 16 difficult cholecystectomies and in 2 of 44 non-difficult cholecystectomies. Sensitivity of CRP was 87.5%, specificity was 86.3%, with a PPV of 70% and NPV of 95%. Conclusion: measuring ESR and CRP has proved to be a reliable method to predict difficult chole- cystectomies due to symptomatic cholelithiasis. This could be applied for surgical planning within a university residency program.

show abstract

Role of procalcitonin as a predictor in difficult laparoscopic cholecystectomy for acute cholecystitis case: A retrospective study based on the TG18 criteria

Cited by 13 publications

References 18 publications

Preoperative prediction of difficult laparoscopic cholecystectomy based on diffusion‐weighted magnetic resonance imaging

Preoperative prediction of difficult laparoscopic cholecystectomy based on diffusion‐weighted magnetic resonance imaging

Which Is More Effective: Laparoscopic or Open Partial Cholecystectomy?

Papel de la proteína C reactiva y la velocidad de sedimentación globular en la predicción de colecistectomía laparoscópica dificultosa: su aplicación en un programa de residencia universitario

Contact Info

Product

Resources

About