TY - JOUR
T1 - Different setups of laparoscopic cholecystectomy
T2 - Conversion and complication rates: A retrospective cohort study
AU - Kais, Hasan
AU - Hershkovitz, Yehuda
AU - Abu-Snina, Yassir
AU - Chikman, Bar
AU - Halevy, Ariel
N1 - Publisher Copyright:
© 2014 Surgical Associates Ltd.
PY - 2014/12/1
Y1 - 2014/12/1
N2 - Background: Laparoscopic cholecystectomy (LC) is the gold standard treatment for gall bladder disease. Methods: We retrospectively reviewed charts of patients who underwent LC. Four LC groups were defined: elective LC - Group I; interval LC - Group II; LC during acute cholecystitis - Group III; and LC following percutaneous cholecystostomy (PCC) - Group IV. Results: The study comprised 1658 patients [mean age: 51.0 years (range 17-94)]: Group I: 1221 patients (73.6%); Group II: 271 patients (16.3%); Group III: 125 patients (7.6%); Group IV: 41 patients (2.5%). The operative time was significantly different between the groups (p<0.05). The conversion rate was highest in Group III (24.8%) and was significantly higher than all the other groups. Group II had a higher conversion rate than Group I (p<0.05). The length of hospital stay was not significantly different between Groups I and II (1.5 and 1.96 days, respectively), and between Groups III and IV (4.46 and 4.78 days, respectively). The differences between Groups I and II, and between Groups III and IV were significant. Complication rates were significantly different between Groups I (2.2%), II (5.6%), and III (13.6%) (p<0.05.) There were no differences between Groups III and IV and there were no significant differences in 30-day readmission rates between the groups. Conclusions: The highest conversion and complication rates were encountered in patients undergoing LC during acute cholecystitis. A gradual increase of conversion and complication rates was noted between the groups of elective LC, interval LC and LC post PCC.
AB - Background: Laparoscopic cholecystectomy (LC) is the gold standard treatment for gall bladder disease. Methods: We retrospectively reviewed charts of patients who underwent LC. Four LC groups were defined: elective LC - Group I; interval LC - Group II; LC during acute cholecystitis - Group III; and LC following percutaneous cholecystostomy (PCC) - Group IV. Results: The study comprised 1658 patients [mean age: 51.0 years (range 17-94)]: Group I: 1221 patients (73.6%); Group II: 271 patients (16.3%); Group III: 125 patients (7.6%); Group IV: 41 patients (2.5%). The operative time was significantly different between the groups (p<0.05). The conversion rate was highest in Group III (24.8%) and was significantly higher than all the other groups. Group II had a higher conversion rate than Group I (p<0.05). The length of hospital stay was not significantly different between Groups I and II (1.5 and 1.96 days, respectively), and between Groups III and IV (4.46 and 4.78 days, respectively). The differences between Groups I and II, and between Groups III and IV were significant. Complication rates were significantly different between Groups I (2.2%), II (5.6%), and III (13.6%) (p<0.05.) There were no differences between Groups III and IV and there were no significant differences in 30-day readmission rates between the groups. Conclusions: The highest conversion and complication rates were encountered in patients undergoing LC during acute cholecystitis. A gradual increase of conversion and complication rates was noted between the groups of elective LC, interval LC and LC post PCC.
KW - Complications
KW - Conversion
KW - Laparoscopic cholecystectomy
KW - Percutaneous cholecystectomy
UR - http://www.scopus.com/inward/record.url?scp=84918828126&partnerID=8YFLogxK
U2 - 10.1016/j.ijsu.2014.10.006
DO - 10.1016/j.ijsu.2014.10.006
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AN - SCOPUS:84918828126
SN - 1743-9191
VL - 12
SP - 1258
EP - 1261
JO - International Journal of Surgery
JF - International Journal of Surgery
IS - 12
ER -