Pre-operative prediction of difficult laparoscopic cholecystectomy using clinical and ultrasonographic parameters.
Artículo
en Inglés
| 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.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Índice de Severidad de la Enfermedad
/
Anciano
/
Cuidados Preoperatorios
/
Femenino
/
Humanos
/
Masculino
/
Colelitiasis
/
Incidencia
/
Probabilidad
/
Valor Predictivo de las Pruebas
Tipo de estudio:
Estudio de etiología
/
Estudio de incidencia
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Idioma:
Inglés
Año:
2005
Tipo del documento:
Artículo
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