Study on the risk factors for laparoscopic cholecystectomy for acute cholecystitis
- VernacularTitle:急性胆囊炎腹腔镜胆囊切除术危险因素探讨
- Author:
Xianbing KONG
- Publication Type:Journal Article
- Keywords:
Acute cholecystitis;
Laparoscopic cholecystectomy;
Risk factor
- From:
Journal of Chongqing Medical University
1987;0(01):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the risk factors for laparoscopic cholecystectomy (LC) for acute cholecystitis.Methods:The LC clinical data on 153 patients with acute cholecystitis were summarized and analyzed by stepwise logistic regression(forward).Results:It was found that among the 153 cases of acute cholecystitis,125 underwent laparoscopic cholecystectomy successfully and 28(18.30%) had conversion to open cholecystectomy.The risk factors for unsuccessful LC in acute cholecystitis included previous upper abdominal operation or recurrence history,rigidity in right upper abdomen,leukocytosis,stone incarceration on the neck of the gallbladder and no visualization of the gallbladder sonographically,more than 72 hours of onset of symptomatic cholelithiasis.In addition,conversion to open cholecystectomy should be made unconditionally,once intensive dense adhesion and unclear discrimination of Calot′s triangle happened for the duration of LC.Conclusion:The risk score for LC in acute cholecystitis in the study is helpful for evaluating completely the patients of LC before operation,and for increasing success rate and decreasing complication incidence of LC.
