Predictive Factors for Open Cholecystectomy in Acute Cholecystitis.
- Author:
Young Mi LEE
1
;
Jun Ho SHIN
Author Information
1. Department of Surgery, Kangbuk Samsung Hospital, Sungkwunkwan University School of Medicine, Seoul, Korea. junho0521.shin@samsung.com
- Publication Type:Original Article
- Keywords:
Acute cholecystitis (AC);
Laparoscopic cholecytectomy (LC);
Open cholecystectomy
- MeSH:
Abdomen;
Bilirubin;
Cholecystectomy*;
Cholecystectomy, Laparoscopic;
Cholecystitis;
Cholecystitis, Acute*;
Humans;
Incidence;
Multivariate Analysis;
Retrospective Studies
- From:Journal of the Korean Surgical Society
2006;70(2):130-134
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Laparoscopic cholecystectomy (LC) has been the standard treatment for acute cholecystitis (AC). However, there is a high conversion rate and incidence of complications. The aim of this study was to define the factors for an open cholecystectomy in acute cholecystitis. METHODS: From May 2002 to February 2004, 116 patients undergoing a cholecystectomy for AC were retrospectively evaluated. The LC group was compared with an open cholecystectomy (OC) group in terms of gender, age, WBC count, bilirubin, ALT, underlying disease, wall thickness of the GB, and a history of upper abdomen surgery. RESULTS: Univariate analyasis revealed age (> or =65), previous upper abdominal surgery ,complicated cholecystitis, and a thickened GB wall (> or =11 mm) to be significant factors associated with an open cholecystectomy. Multivariate analysis showed age (> or =65), and a thickened GB wall (> or =11 mm) to be significant factors. CONCLUSION: In high risk patients for open cholecystectomy, the surgeon should explain the risks to the patient and perform an early conversion.
