Pre-operative prediction of difficult laparoscopic cholecystectomy using clinical and ultrasonographic parameters.
Article
in English
| IMSEAR
| ID: sea-65494
ABSTRACT
BACKGROUND:
Pre-operative prediction of a difficult laparoscopic cholecystectomy (LC) can help the patient as well as the surgeon prepare better for the intra-operative risk and the risk of conversion to open cholecystectomy.METHODS:
In 105 eligible patients who underwent LC during May 2001 to January 2003, patient characteristics, clinical history, laboratory data, ultrasonography results and intra-operative details were prospectively analyzed to determine predictors of difficult LC.RESULTS:
Of 105 patients, 12 (11.4%) required conversion to open cholecystectomy. Significant predictors of conversion were body mass index> 30 Kg/m2, male gender, past history of acute cholecystitis or acute pancreatitis, past history of upper abdominal surgery, and gall bladder wall thickness exceeding 3 mm.CONCLUSION:
Clinical and ultrasonograpic factors can help predict difficult LC and likelihood of conversion of LC to open surgery.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Severity of Illness Index
/
Aged
/
Preoperative Care
/
Female
/
Humans
/
Male
/
Cholelithiasis
/
Incidence
/
Probability
/
Predictive Value of Tests
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Language:
English
Year:
2005
Type:
Article
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