Factors influencing the successful completion of laparoscopic cholecystectomy.

2.50
Hdl Handle:
http://hdl.handle.net/10147/204969
Title:
Factors influencing the successful completion of laparoscopic cholecystectomy.
Authors:
Chandio, Ashfaq; Timmons, Suzanne; Majeed, Aamir; Twomey, Aongus; Aftab, Fuad
Affiliation:
Department of General & Laparoscopic Surgery, Mallow General Hospital, Mallow Co. Cork, Republic of Ireland. chandioashfaq@yahoo.com
Citation:
Factors influencing the successful completion of laparoscopic cholecystectomy., 13 (4):581-6 JSLS
Journal:
JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons
Issue Date:
26-Jan-2012
URI:
http://hdl.handle.net/10147/204969
DOI:
10.4293/108680809X1258998404560
PubMed ID:
20202401
Abstract:
To analyze the preoperative factors contributing to the decision to convert laparoscopic to open cholecystectomy.; Retrospective identification of 324 consecutive patients undergoing laparoscopic cholecystectomy, with univariate and multivariate analysis of the following parameters: age, gender, obesity, previous abdominal surgery, presentation with acute cholecystitis, pancreatitis or obstructive jaundice, gallbladder wall thickening, gallbladder or common bile duct stones.; Thirty-nine patients (12%) underwent conversion to open cholecystectomy. Patients aged over 65 years were four times more likely to require conversion than patients under 50 years of age. Under 50 years of age, males had equal conversion rates to females, and above this age there was a non-significant increased conversion rate in males. Obese patients had higher conversion rates than non-obese patients (23% versus 9%, P < 0.003). Thirty-eight percent of patients with choledocholithiasis required conversion. Age, acute cholecystitis and choledocholithiasis independently predicted conversion. A patient aged less than fifty years with neither acute cholecystitis nor choledocholithiasis had a conversion rate of just 2%, while almost 60% of those over 65 years of age with acute cholecystitis or choledocholithiasis required conversion.; The parameters of age, acute cholecystitis and choledocholithiasis must be considered in the clinical decision making process when planning laparoscopic cholecystectomy.
Item Type:
Article
Language:
en
MeSH:
Adolescent; Adult; Aged; Aged, 80 and over; Biliary Tract Diseases; Chi-Square Distribution; Cholangiopancreatography, Endoscopic Retrograde; Cholangiopancreatography, Magnetic Resonance; Cholecystectomy, Laparoscopic; Female; Humans; Logistic Models; Male; Middle Aged; Postoperative Complications; Retrospective Studies; Risk Factors; Treatment Outcome
ISSN:
1086-8089

Full metadata record

DC FieldValue Language
dc.contributor.authorChandio, Ashfaqen
dc.contributor.authorTimmons, Suzanneen
dc.contributor.authorMajeed, Aamiren
dc.contributor.authorTwomey, Aongusen
dc.contributor.authorAftab, Fuaden
dc.date.accessioned2012-01-26T09:46:35Z-
dc.date.available2012-01-26T09:46:35Z-
dc.date.issued2012-01-26T09:46:35Z-
dc.identifier.citationFactors influencing the successful completion of laparoscopic cholecystectomy., 13 (4):581-6 JSLSen
dc.identifier.issn1086-8089-
dc.identifier.pmid20202401-
dc.identifier.doi10.4293/108680809X1258998404560-
dc.identifier.urihttp://hdl.handle.net/10147/204969-
dc.description.abstractTo analyze the preoperative factors contributing to the decision to convert laparoscopic to open cholecystectomy.-
dc.description.abstractRetrospective identification of 324 consecutive patients undergoing laparoscopic cholecystectomy, with univariate and multivariate analysis of the following parameters: age, gender, obesity, previous abdominal surgery, presentation with acute cholecystitis, pancreatitis or obstructive jaundice, gallbladder wall thickening, gallbladder or common bile duct stones.-
dc.description.abstractThirty-nine patients (12%) underwent conversion to open cholecystectomy. Patients aged over 65 years were four times more likely to require conversion than patients under 50 years of age. Under 50 years of age, males had equal conversion rates to females, and above this age there was a non-significant increased conversion rate in males. Obese patients had higher conversion rates than non-obese patients (23% versus 9%, P < 0.003). Thirty-eight percent of patients with choledocholithiasis required conversion. Age, acute cholecystitis and choledocholithiasis independently predicted conversion. A patient aged less than fifty years with neither acute cholecystitis nor choledocholithiasis had a conversion rate of just 2%, while almost 60% of those over 65 years of age with acute cholecystitis or choledocholithiasis required conversion.-
dc.description.abstractThe parameters of age, acute cholecystitis and choledocholithiasis must be considered in the clinical decision making process when planning laparoscopic cholecystectomy.-
dc.language.isoenen
dc.subject.meshAdolescent-
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshBiliary Tract Diseases-
dc.subject.meshChi-Square Distribution-
dc.subject.meshCholangiopancreatography, Endoscopic Retrograde-
dc.subject.meshCholangiopancreatography, Magnetic Resonance-
dc.subject.meshCholecystectomy, Laparoscopic-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshLogistic Models-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshPostoperative Complications-
dc.subject.meshRetrospective Studies-
dc.subject.meshRisk Factors-
dc.subject.meshTreatment Outcome-
dc.titleFactors influencing the successful completion of laparoscopic cholecystectomy.en
dc.typeArticleen
dc.contributor.departmentDepartment of General & Laparoscopic Surgery, Mallow General Hospital, Mallow Co. Cork, Republic of Ireland. chandioashfaq@yahoo.comen
dc.identifier.journalJSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeonsen
dc.description.provinceMunster-

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