scholarly journals Is gallbladder inflammation more severe in male patients presenting with acute cholecystitis?

BMC Surgery ◽  
2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Peter C Ambe ◽  
Sebastian A Weber ◽  
Dirk Wassenberg
Keyword(s):  
Acute Cholecystitis ◽  
Male Patients ◽  
Gallbladder Inflammation

scholarly journals Comparison of Early and Delayed Laparoscopic Cholecystectomy in Acute Cholecystitis

2021 ◽  
Vol 15 (1) ◽  
pp. 91-94
Author(s):  
Muhammad Nasir ◽  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Open Cholecystectomy ◽  
Early Laparoscopic Cholecystectomy ◽  
Female Patients ◽  
Delayed Laparoscopic Cholecystectomy ◽  
Conversion To Open Cholecystectomy ◽  
Group A ◽  
Male Patients ◽  
Group B

Background: Laparoscopic Cholecystectomy is now accepted as being safe for acute cholecystitis. However, it has not become routine, because the exact timing and approach to the surgical management remains ill define. Careful selection of patients, the knowledge of typical procedure-related complications, and their best treatment are the key points for a safe Laparoscopic Cholecystectomy. Objective: To compare the early and delayed Laparoscopic Cholecystectomy in the acute phase in terms of frequency of conversion to open cholecystectomy. Study Design: Randomized clinical trial. Settings: Department of Surgery, Divisional Headquarter Hospital, Faisalabad. Punjab Medical College, Faisalabad Pakistan. Duration: Study was carried out over a period of six months from June 2018 to May 2019. Methodology: A total of 152 cases (76 cases in each group) were included in this study. All patients were randomly allocated to either group i.e., group -A early Laparoscopic Cholecystectomy and group-B delayed Laparoscopic Cholecystectomy. Results: Mean age was 39.09 + 8.8 and 37.05+ 8.5 years in group- A and B, respectively. In group-A, male patients were 48 (63.2%) and female patients were 28 (36.8%). Similarly, in group-B, male patients were 41 (53.9%) and female patients were 35 (46.1%). Conversion to open cholecystectomy was required in 6 patients (7.9%) of group-A and 16 patients (21.0%) of group – B. Significant difference between two groups was observed (P= 0.021). Conclusion: Early laparoscopic cholecystectomy for acute cholecystitis is safe and feasible in terms of less frequency of conversion to open cholecystectomy.

Effect of Indomethacin on Gallbladder Inflammation and Contractility during Acute Cholecystitis

2001 ◽  
Vol 96 (1) ◽  
pp. 135-142 ◽  
Author(s):  
Henry P. Parkman ◽  
Arlene N. James ◽  
Rebecca M. Thomas ◽  
Lori L. Bartula ◽  
James P. Ryan ◽  
...  
Keyword(s):  
Acute Cholecystitis ◽  
Gallbladder Inflammation

scholarly journals Emphysematous Cholecystitis: An Unusual Presentation of a Rare Disease

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Daniel B De Araujo ◽  
D´écio V Renck ◽  
Marcelo AP De Britto ◽  
Danise S Oliveira ◽  
Fernanda T Lauermann
Keyword(s):  
Acute Cholecystitis ◽  
Rare Disease ◽  
Clinical Features ◽  
Diagnostic Methods ◽  
Unusual Presentation ◽  
Radiological Diagnosis ◽  
Rare Form ◽  
Emphysematous Cholecystitis ◽  
Male Patients

We report a case of radiological diagnosis of emphysematous cholecystitis, a relatively rare form of acute cholecystitis, in a non-diabetic 55-year-old woman. This case is unique given that this pathology is most commonly seen in diabetic male patients. The purpose of this article is to highlight a case of emphysematous cholecystitis in an unexpected population and discuss the clinical features, the diagnostic methods and the treatment.

scholarly journals Fístulas Biliares em Combinação Espontânea Interna e Externa Associadas a Cálculos e Glimatose de Vesícula Biliar

2001 ◽  
Vol 47 (3) ◽  
pp. 273-276
Author(s):  
Cícero de Andrade Urban ◽  
Linei Augusta Brolini Dellê Urban ◽  
Rubens Silveira de Lima ◽  
Luiz Fernando Bleggi-Torres
Keyword(s):  
Acute Cholecystitis ◽  
Rare Complication ◽  
Fistulous Tract ◽  
Biliary Tract Disease ◽  
Gallbladder Wall ◽  
Biliary Fistula ◽  
Ovarian Teratoma ◽  
History Of ◽  
Tract Disease ◽  
Gallbladder Inflammation

Spontaneous combined internal and external biliary fistula is a very rare complication of biliary tract disease. Only two previous cases have been reported so far, and all of them with previous episodes of acute cholecystitis, treated without surgery. We describe a 27-year-old female patient (the younger reported to date) who presented with a long history of neglected gallbladder inflammation complicated by neuroglial implants on the peritoneum and on the gallbladder wall due to an ovarian teratoma. She had spontaneous cholecystocutaneous fistula and cholecystocolic fistula that were successfully treated by cholecystectomy and excision of the fistulous tract.

scholarly journals Is the Male Gender an Independent Risk Factor for Complication in Patients Undergoing Laparoscopic Cholecystectomy for Acute Cholecystitis?

2015 ◽  
Vol 100 (5) ◽  
pp. 854-859 ◽  
Author(s):  
Peter C. Ambe ◽  
Lothar Köhler
Keyword(s):  
Risk Factor ◽  
Laparoscopic Cholecystectomy ◽  
Acute Cholecystitis ◽  
Independent Risk Factor ◽  
Standard Procedure ◽  
Male Gender ◽  
Conversion To Open Surgery ◽  
Male Group ◽  
Significant Difference ◽  
Male Patients

This paper was designed to investigate the gender dependent risk of complication in patients undergoing laparoscopic cholecystectomy for acute cholecystitis. Laparoscopic cholecystectomy is the standard procedure for benign gallbladder disorders. The role of gender as an independent risk factor for complicated laparoscopic cholecystectomy remains unclear. A retrospective single-center analysis of laparoscopic cholecystectomies performed for acute cholecystitis over a 5-year period in a community hospital was performed. Within the period of examination, 1884 laparoscopic cholecystectomies were performed. The diagnosis was acute cholecystitis in 779 cases (462 female, 317 male). The male group was significantly older (P = 0.001). Surgery lasted significantly longer in the male group (P = 0.008). Conversion was done in 35 cases (4.5%). There was no significant difference in the rate of conversion between both groups. However the rate of conversion was significantly higher in male patients > 65 years (P = 0.006). The length of postoperative hospital stay was significantly longer in the male group (P = 0.007), in the group > 65 years (P = 0.001) and following conversion to open surgery (P = 0.001). The male gender was identified as an independent risk factor for prolonged laparoscopic cholecystectomy on multivariate analysis. The male gender could be an independent risk factor for complicated or challenging surgery in patients undergoing laparoscopic cholecystectomy for acute cholecystitis.

scholarly journals Comparative analysis of surgery for acute cholecystitis: before and after national recommendations acceptance

2018 ◽  
Vol 23 (2) ◽  
pp. 84-92
Author(s):  
V. M. Timerbulatov ◽  
Sh. V. Timerbulatov ◽  
R. M. Garipov ◽  
A. M. Sargsyan
Keyword(s):  
Acute Cholecystitis ◽  
Postoperative Morbidity ◽  
Postoperative Mortality ◽  
Length Of Hospital Stay ◽  
Cardiovascular Complications ◽  
Group I ◽  
Before And After ◽  
Extrahepatic Bile Ducts ◽  
Second Period ◽  
Gallbladder Inflammation

Aim. To determine the ways to reduce postoperative morbidity and mortality in acute cholecystitis. Material and metods. Retrospective (2013–2014 years) and prospective non-randomized (2015–2016) analysis of outcomes in 804 patients with acute cholecystitis was performed. Analysis was carried out within two periods – before and after acceptance of national clinical recommendations “Acute cholecystitis” (2015). Protocols of diagnosis and treatment developed by our clinic were applied in the first period (2013–2014). 220 patients (group I) underwent surgery in the first period, 290 (group II) – in the second period. Results. There was significantly reduced incidence of conversions for laparoscopic and minimally invasive cholecystectomy from 4.09% to 2.41% (p < 0.05) (OR – 1.724; 95% CI 0.632–4.705). Incidence of extrahepatic bile ducts lesion, postoperative thrombotic, thromboembolic complications, cardiovascular complications (including myocardial infarction) were similar in both groups (p > 0.05) (for cardiovascular complications OR – 0.758, 95% CI 0.047–12.183). There was reduced length of hospital-stay from 11.5 ± 0.8 to 9 ± 0.5 days (p < 0.05). Slight augmentation of postoperative mortality in the second period (from 0.45% to 1.37%) was observed (p < 0.05) (OR – 3.063, 95% CI 0.340–27.599). Conclusion. Reduced number of conversions was predominantly caused by cholecystectomy in patients with milder gallbladder inflammation. It is explained by earlier surgery (within 24–48 h) when severe infiltration of surrounding tissues is absent. Preoperative prolonged medication (3–5 days) aggravates these processes, creates significant intraoperative technical difficulties and increases incidence of conversions.

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