Please use this identifier to cite or link to this item:
|Title:||Laparoscopic cholecystectomy for acute cholecystitis: Is it really safe?||Authors:||Kum, C.K.
|Issue Date:||1996||Citation:||Kum, C.K., Eypasch, E., Lefering, R., Paul, A., Neugebauer, E., Troidl, H. (1996). Laparoscopic cholecystectomy for acute cholecystitis: Is it really safe?. World Journal of Surgery 20 (1) : 43-49. ScholarBank@NUS Repository. https://doi.org/10.1007/s002689900008||Abstract:||The prospectively collected data from 530 cholecystectomies performed in a university clinic from October 1989 to March 1991 were analyzed after 1 to 3 years of follow-up. The aim of this study was to compare the results of laparoscopic cholecystectomy (LC) for acute cholecystitis with that for routine symptomatic gallbladders. The preoperative, intraoperative, and postoperative parameters of 424 routine (noninflamed) LCs and 54 LCs for acutely inflamed gallbladders were compared under the 'intention to treat' principle. Operating time was longer in the inflamed group (median 97 minutes versus 75 minutes; p < 0.0001). Significantly more adhesions (20% versus 8%), more blood loss (48% versus 19%), a higher incidence of bile spillage (20% versus 12%), and lost stones (19% versus 8%) were encountered in patients with acute cholecystitis. Common bile duct (CBD) injuries were also more frequent in that group (5.5% versus 0.2%; p = 0.005). The rate of conversion to open surgery was higher than with routine LCs (13% versus 4%). There were two deaths in the routine LC group and none in the acutely inflamed group. There was no difference in postoperative pain intensity or postoperative fatigue according to visual analog scale measurements. Patients with acute cholecystitis stayed only 1 day longer (median 4 days versus 3 days) in hospital. The quality of life scores indicate return to almost normal values by the 14th postoperative day. Long-term follow-up (1-3 years) did not reveal any delayed clinical adverse effects. In summary, LC for inflamed gallbladders has a higher conversion rate than LC for routine symptomatic gallbladders. If successfully performed, it has definite benefit for the patient in terms of better postoperative recovery. The trade-off is that the risk of CBD injury is significantly higher.||Source Title:||World Journal of Surgery||URI:||http://scholarbank.nus.edu.sg/handle/10635/132670||ISSN:||03642313||DOI:||10.1007/s002689900008|
|Appears in Collections:||Staff Publications|
Show full item record
Files in This Item:
There are no files associated with this item.
checked on Oct 15, 2021
WEB OF SCIENCETM
checked on Oct 15, 2021
checked on Oct 14, 2021
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.