Elevated plasma visfatin levels correlate with conversion of laparoscopic cholecystectomy to open surgery in acute cholecystitis

Peptides ◽  
2014 ◽  
Vol 60 ◽  
pp. 8-12 ◽  
Author(s):  
Kai-Gang Xie ◽  
Xiao-Ping Teng ◽  
Shui-Yin Zhu ◽  
Xiong-Bo Qiu ◽  
Xiao-Ming Ye ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Open Surgery ◽  
Elevated Plasma

scholarly journals Comparative Study of the Effect of Laparoscopic and Open Surgery on Acute Cholecystitis

2015 ◽  
Vol 4 (3) ◽  
pp. 23
Author(s):  
Jian Lin
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Open Surgery ◽  
Open Cholecystectomy ◽  
Operation Time ◽  
Surgical Indications ◽  
Method Clinical Data ◽  
Function Recovery ◽  
Stay Time ◽  
Strict Condition

<strong>Objective:</strong> To compare the clinical effect of laparoscopic and open surgery on acute cholecystitis. Method: clinical data of 200 cases of acute cholecystitis patients in our hospital from July 2006 to July 2010 were divided into laparoscopic cholecystectomy(LC) group and open cholecystectomy(OC) group. Comparison was made from various aspects to show the feasibility of laparoscopic cholecystectomy of acute cholecystitis. <strong>Results:</strong> the operation time, off-bed activity time, postoperative gastrointestinal function recovery time and hospital stay time of LC group were all lower than OC group (<em>t </em>= 2.785, <em>t</em> = 2.825, <em>t</em> = 2.831, <em>t</em> = 2.904, <em>p</em> &lt; 0.05); OC group’s postoperative complications was 23.0%, higher than that (9.0%) of LC group(χ<sup>2 </sup>= 3.764, <em>p</em> &lt; 0.05). <strong>Conclusion:</strong> Under the chosen strict condition of surgical indications and delicate surgery operation, the application of laparoscopic cholecystectomy in the treatment of acute cholecystitis is safe and feasible.

scholarly journals Early Laparoscopic Cholecystectomy with Continuous Pressurized Irrigation and Dissection in Acute Cholecystitis

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
I. Ozsan ◽  
O. Yoldas ◽  
T. Karabuga ◽  
U. M. Yıldırım ◽  
H. Y. Cetin ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Hospital Admission ◽  
Acute Cholecystitis ◽  
Symptom Onset ◽  
Open Surgery ◽  
Bile Leak ◽  
Conversion To Open Surgery ◽  
Conversion Rates ◽  
Pressurized Irrigation ◽  
Dissection Technique

Background. The aim of this study was to evaluate the preliminary results of a new dissection technique in acute cholecystitis.Material and Method. One hundred and forty-nine consecutive patients with acute cholecystitis were operated on with continuous pressurized irrigation and dissection technique. The diagnosis of acute cholecystitis was based on clinical, laboratory, and radiological evidences. Age, gender, time from symptom onset to hospital admission, operative risk according to the American Society of Anesthesiologists (ASA) score, white blood cell count, C-reactive protein test levels, positive findings of radiologic evaluation of the patients, operation time, perioperative complications, mortality, and conversion to open surgery were prospectively recorded.Results. Of the 149 patients, 87 (58,4%) were female and 62 (41,6%) were male. The mean age was46.3±6.7years. The median time from symptom onset to hospital admission 3.2 days (range, 1–6). There were no major complications such as bile leak, common bile duct injury or bleeding. Subhepatic liquid collection occurred in 3 of the patients which was managed by percutaneous drainage. Conversion to open surgery was required in four (2,69%) patients. There was no mortality in the study group.Conclusion. Laparoscopic cholecystectomy with continuous pressurized irrigation and dissection technique in acute cholecystitis seems to be an effective and reliable procedure with low complication and conversion rates.

scholarly journals Laparoscopic cholecystostomy tube placement

2020 ◽  
Vol 10 (3) ◽  
pp. 70-72
Author(s):  
 Abhiman Cheeyandira
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Open Surgery ◽  
Tube Placement ◽  
Safe Alternative ◽  
Excessive Bleeding ◽  
Conversion To Open Surgery ◽  
The World ◽  
Cholecystostomy Tube ◽  
Laparoscopic Cholecystostomy

Laparoscopic cholecystectomy is one of the most common procedures performed in the world today Acute calculus cholecystitis is the most frequent complication of cholelithiasis. Laparoscopic cholecystectomy is the best treatment for acute calculus cholecystitis when performed within 72 hours. Acute cholecystitis tends to be one of the highest risks for conversion to open surgery-due to unclear anatomy, excessive bleeding or technical complications. Here we present 2 cases with severe acute cholecystitis that required placement of laparoscopic cholecystostomy (LC) tube. Patient subsequently underwent interval cholecystectomy, when the inflammation had subsided. LC tube placement can be a safe alternative in such situations to avoid complications and conversion to open procedure.

scholarly journals Timing and Clinical Efficacy of Laparoscopic Cholecystectomy for Acute Cholecystitis at Different Stages

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Hao Zhang
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Clinical Efficacy ◽  
Clinical Data ◽  
Symptom Onset ◽  
Open Surgery ◽  
Surgical Trauma ◽  
Conversion To Open Surgery ◽  
Group A ◽  
Group B

Objective: To investigate timing and clinical efficacy of laparoscopic cholecystectomy for acute cholecystitis at different stages. Methods: Clinical data of 100 acute cholecystitis patients admitted to our hospital from March 2018 to March 2019 were retrospectively analyzed. Clinical data of 48 patients who had surgery within 72 hours of symptom onset were classified as group A, and clinical data of 52 patients who had surgery at ? 72 hours of symptom onset were classified as group B. Clinical indicators, rate of conversion to open surgery, and complication were compared between the two groups. Results: Length of hospital stay, operation time, exhaust time and intraoperative blood loss in group A were lower than those in group B, and the differences were statistically significant (P<0.05). Comparison of rate of conversion to open surgery between group A (2.08%, 1/48) and group B (7.69%, 4/52) showed no statistically significant difference (P>0.05). Incidence of postoperative complication was 8.33% (4/48) in group A and 11.54% (6/52) in group B, the difference was not statistically significance (P>0.05). Conclusions: Laparoscopic cholecystectomy within 72 hours of symptom onset has better efficacy than after 72 hours for patients with acute cholecystitis. It could effectively reduce surgical trauma and promote recovery.

Laparoscopic Cholecystectomy in Acute Gall Bladder Disease

1970 ◽  
Vol 24 (1) ◽  
pp. 10-13
Author(s):  
TK Maitra ◽  
NA Alam ◽  
E Haque ◽  
MH Khan ◽  
HK Chowdhury
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Bladder ◽  
Acute Cholecystitis ◽  
Early Phase ◽  
Gall Bladder Disease ◽  
Laparoscopic Procedure ◽  
Bladder Disease ◽  
Complication Of Surgery

Laparoscopic cholecystectomy is one of the procedures through which gall bladder can be removed. Acute cholecystitis was considered a contraindication for laparoscopic procedure but with time and experience this shortcoming is now overcome. Here is a study of 32 patients who were selected for laparoscopic cholecystectomy. Among them, 29 patients were operated by laparoscopic method and rest three patients were converted. This study showed the appropriate time for surgery, technical difficulties and the complication of surgery. It may be concluded that laparoscopic cholecystectomy is feasible and beneficial to the patient with acute cholecystitis in its early phase, if necessary support and expertise is available. (J Bangladesh Coll Phys Surg 2006; 24: 10-13)

Early experience of laparoscopic cholecystectomy in acutely inflamed gallbladder

2018 ◽  
Vol 9 (SPL1) ◽  
Author(s):  
Ali Abdul Hussein Handoz ◽  
Ahmed Kh Alsagban
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Gall Stone ◽  
The Elderly ◽  
Stone Disease ◽  
Definitive Treatment ◽  
Adjacent Structures ◽  
Common Causes ◽  
Gall Stone Disease ◽  
Male To Female

Gallstones are now among the most important disease in the era of surgery. Definitive treatment of gall stone disease remains cholecystectomy. One of the common causes of emergency surgical referral is acute cholecystitis of which 50-70% cases are seen in the elderly patients.50 patients were treated with laparoscopic cholecystectomy from October 2013 to October 2015. The patient’s age was from 20 to 65 years old with a mean age of 34 ±3 years old. The patients received in the emergency unit and their attack not more than 72 hrs of acute gall stone inflammation were included in this study.From the 50 patients,15 were males (34%) and females were 35 (74%) so the ratio of 1:2of male to female. Problems and complications that facing in this study at time of laparoscopy were mainly adhesions to the adjacent structures like stomach, colon, and omentum. Adhesion into CBD also considered.Early intervention for acute cholecystitis of calculus type by laparoscopy now regarding safe and gold standard approach that should be kept in mind when dealing with such cases.

LAPAROSCOPIC CHOLECYSTECTOMY IN ACUTE CHOLECYSTITIS: A PROSPECTIVE STUDY.

2019 ◽  
Author(s):  
Madan Goyal ◽  
R K Goel
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Open Cholecystectomy ◽  
Critical View Of Safety ◽  
Recent Onset ◽  
Conversion To Open Cholecystectomy ◽  
Threatening Condition ◽  
Life Threatening ◽  
Fluid Collections ◽  
A Prospective Study

Acute cholecystitis (AC) is a potentially life-threatening condition. LC was initially considered to be a relative contraindication for laparoscopic cholecystectomy (LC), but with increase in general expertise, early LC was recommended in selected patients1. Aprospective study of LC in grade 1 and 2 AC patients with mild to moderate inflammatory changes in the gallbladder and no significant organ dysfunction, was performed during October 2016 to July 2019. A total of 78 patients, out of 408 cholecystectomies performed during this period, were included in this study. Criteria for diagnosing AC was, recent onset of pain in right hypochondrium, fever, leucocytosis, pericholecystic fluid collections, subserosal oedema on ultrasound, pyocele and other pathological evidence of AC. Patients presented and operated within 4 days of onset of symptoms showed better results as compared to those who could be operated after 4 days and within 14 days. Five patients required conversion to open cholecystectomy because of complex adhesions in 2, critical view of safety was unachievable in 2 and in 1 for troublesome bleeding.

Time to abandon the old dictum of delayed laparoscopic cholecystectomy after acute cholecystitis has settled in Caribbean practice

2021 ◽  
pp. 004947552110100
Author(s):  
Shamir O Cawich ◽  
Avidesh H Mahabir ◽  
Sahle Griffith ◽  
Patrick FaSiOen ◽  
Vijay Naraynsingh
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Gold Standard ◽  
Standard Treatment ◽  
Gallstone Disease ◽  
Acute Attack ◽  
Early Laparoscopic Cholecystectomy ◽  
Delayed Surgery ◽  
Delayed Cholecystectomy ◽  
Delayed Laparoscopic Cholecystectomy

Although laparoscopic cholecystectomy is the gold standard treatment for acute cholecystitis, many Caribbean surgeons are reluctant to operate during the acute attack. We collected data for all consecutive patients who underwent laparoscopic cholecystectomy for acute cholecystitis from January 1 to 31 December 2018. Delayed cholecystectomy was done >6 weeks after acute cholecystitis settled. We compared data between early and delayed groups. Delayed laparoscopic cholecystectomy was performed in 54 patients, and 42 had early laparoscopic cholecystectomy. Delayed surgery resulted in significantly more complications requiring readmission (39% vs 0), longer operations (2.27 vs 0.94 h) and lengthier post-operative hospitalisation (1.84 vs 1.1 days). Caribbean hospitals should abandon the practice of delayed surgery after cholecystitis has settled. Early laparoscopic cholecystectomy would be financially advantageous for our institutions, and it would save patients recurrent attacks of gallstone disease.

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