Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Surgical treatment of acute cholecystitis. Retrospective study of a seriesof 192 patients operated over a period of 3 years.
Autore:
Arvieux-Barthelemy, C; Mestrallet, JP; Bouchard, F; Delannoy, P; Radmanesh, O; Zattara, A; Naud, G; Faucheron, JL; Eymard, P; Dupre, A; Letoublon, C;
Indirizzi:
Ctr Hosp Univ A Michallon, Serv Chirurg Gen & Digest, F-38053 Grenoble, France Ctr Hosp Univ A Michallon Grenoble France F-38053 38053 Grenoble, France
Titolo Testata:
ANNALES DE CHIRURGIE
fascicolo: 6, volume: 53, anno: 1999,
pagine: 472 - 481
SICI:
0003-3944(1999)53:6<472:STOACR>2.0.ZU;2-F
Fonte:
ISI
Lingua:
FRE
Soggetto:
LAPAROSCOPIC CHOLECYSTECTOMY; CONVERSION;
Keywords:
acute cholecystitis; laparoscopy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Arvieux-Barthelemy, C Ctr Hosp Univ A Michallon, Serv Chirurg Gen & Digest, BP 217, F-38053 Grenoble, France Ctr Hosp Univ A Michallon BP 217 Grenoble France F-38053
Citazione:
C. Arvieux-Barthelemy et al., "Surgical treatment of acute cholecystitis. Retrospective study of a seriesof 192 patients operated over a period of 3 years.", ANN CHIR, 53(6), 1999, pp. 472-481

Abstract

Emergency conditions make laparoscopic treatment of acute cholecystitis challenging. The aim of this study is to retrospectively analyse our experience of cholecystectomy for acute cholecystitis performed between January 1995 and December 1997. In order to be included, patients had to present (i) symptoms of acute cholecystitis correlated with laboratory blood tests and ultrasonographic studies (ii) evidence of acute inflammation during the operation and (iii) histological confirmation of acute or subacute inflammationof the excised gallbladder. 192 patients were treated : 62 were totally managed laparoscopically (group CCN), 33 managed laparoscopically but required conversion to open cholecystectomy (group CCC) and 97 were managed conventionary by laparotomy (group CL). Mean age was significantly different between the three groups, (CCN : 55.6 +/- 15 years, CCC : 64.2 +/- 13 years, CL: 66.5 +/- 17 years), as was ASA score (CCN : ASA 3 and ASA 4 : 16%, CCC :ASA 3 and ASA 4 : 48%, CL : ASA 3 and ASA 4 : 46%), and initial infectioussigns (temp. greater than or equal to 38 degrees C : CCN : 35%, CCC : 39%,CL : 63%). Mean operative delay was significantly higher in the converted group [8.7 +/- 13 days (CCC) vs 4.5 +/- 8 days (CCN) and 5.4 +/- 8 days (CL)]. There were two (1%) bile duct injuries, one in the CCC group, the otherin the CL group. Operative mortality was 2% (CCC : 0%, CCN : 0%, CL : 4%) and operative morbidity was 40% (CCN : 21%, CCC : 24%, CL : 57%). The mean postoperative hospital stay was shorter in the CCN group (6.5 +/- 3.5 days)and CCC group (9.6 +/- 4.4 days) vs the mean stay in the CL group (14.7 +/- 11.6 days). Appears to be beneficial for selected patients with low surgical risk to conclude laparoscopic cholecystectomy. It has yet to be shown whether this benefit can be extended to patients with a high surgical risk.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/01/20 alle ore 10:06:40