Laparoscopic cholecystectomy in patients with a history of gastrectomy

VernacularTitle:胃切除术后患者胆囊良性疾病的腹腔镜治疗
Author: Wenbin YUAN ¹ ; Wei WEI ; Mingjie ZHANG ; Guolei ZHANG ; Shiyu ZHOU ; Feng CEN ; Huaping SHEN ; Qiang YAN
Author Information

1. 湖州市中心医院肝胆外科
Keywords: Gastrectomy; Gallbladder diseases; Cholecystectomy,laparoscopic
From: Chinese Journal of General Surgery 2018;33(10):836-838
CountryChina
Language:Chinese
Abstract: Objective To investigate the risk factors of laparoscopic cholecystectomy (LC) in patients with previous gastrectomy.Methods This retrospective study reviewed a database of patients who underwent LC at our hospital during the period of Jan 2010 and May 2015.Results Comparesd with those of no history of gastrectomy the average operation time in patients with previous gastrectomy was longer (t =15.608,P ＜ 0.05) the intraoperative blood loss was higher (t =3.061,P ＜ 0.05),and the operation time of patients with a long interval (＞ 5 years) between gastrectomy and LC was shorter (t =6.405,P ＜ 0.01).The conversion rate did not differ between the two groups (P ＞ 0.05),but the conversion rate significantly reduced after a comprehensive preoperative evaluation procedure (x2 =15.282,P ＜ 0.01).Conclusion LC for benign gallbladder diseases is safe,effective and feasible in patients with a history of gastrectomy,if a comprehensive preoperative evaluation is adopted and in experinced hands.