Laparoscopic Cholecystectomy of Gangrenous Cholecystitis Safety and Feasibility
Advances in Surgical Sciences
Volume 6, Issue 1, June 2018, Pages: 16-19
Received: Feb. 24, 2018; Accepted: Mar. 11, 2018; Published: Apr. 3, 2018
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Authors
Sherif Abd-Al Fattah Saber, General Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Ahmed Abd-Al Fattah Elshoura, General Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Osama Hassan Abd-Raboh, General Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt
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Abstract
Background: Laparoscopic Cholecystitis (LC) of gangrenous Cholecystitis (GC) which is a serious complication of acute Cholecystitis (AC) is challenging especially in the presence of dense inflammatory adhesions and pericholecystic collection. The aim of this study is to clarify the feasibility and safety of LC in GC. Materials and methods: This is a prospective study done in GIT and LAP surgery unit, General Surgery Department in Tanta university hospital between January 2014 and 2018 on 40 cases of GC from 350 cases of laparoscopymanaged AC. Demographic data, intraoperative time, difficulties of the procedure, postoperative ICU admission, and hospital stay and complications were recorded. Results: GC was suggested preoperatively from old age, DM, CVD, fever > 38°C, tachycardia > 90 beats /minute, leucocytosis> 13,000 /cumm and gallbladder wall thickening>4mm and pericholecystic collection. LC introduces shorter time less difficulties intraoperatively, less need for ICU, shorter hospital stay and less frequent postoperative morbidity. Conclusion: The use of LC in GC is feasible and safe.
Keywords
Laparoscopic Cholecystectomy, Gangrenous Cholecystitis, Acute Cholecystitis
To cite this article
Sherif Abd-Al Fattah Saber, Ahmed Abd-Al Fattah Elshoura, Osama Hassan Abd-Raboh, Laparoscopic Cholecystectomy of Gangrenous Cholecystitis Safety and Feasibility, Advances in Surgical Sciences. Vol. 6, No. 1, 2018, pp. 16-19. doi: 10.11648/j.ass.20180601.13
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Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
[1]
Yamashita Y, Takada T & Hirata K (2006) A survey of the timing and approach to the surgical management of patients with acute cholecystitis in Japanese hospitals. J Hepatobiliary Pancreat Surg; 13: 409–415.
[2]
Beldi G, Glattli A (2003) Laparoscopic subtotal cholecystectomy for severe cholecystitis. SurgEndosc; 17:1437–9.
[3]
Shinke G, Noda T &Hatano H (2015) Feasibility and Safety of Urgent Laparoscopic Cholecystectomy for Acute Cholecystitis After 4 Days from Symptoms Onset. J Gastrointest Surg; 19:1787–1793.
[4]
Bennett GL, Rusinek H, Lisi V, et al (2002) CT findings in acute gangrenous cholecystitis. AJR Am J Roentgenol; 178 (2):275-281.
[5]
Sahu S, Agrawal S & Sachan P (2003) Intraoperative difficulties in laparoscopic cholecystomy. Jurnalul de Chirurgie (Iaşi); 9: 2-5.
[6]
ContiniS, Corradi D, Busi N, et al (2004) Can gangrenous cholecystitis be prevented?: a plea against a ‘wait and see’ attitude. J Clin Gastroenterol; 38 (8):710-716.
[7]
Ukhanov A, Baydo S, Chakhmachev S, et al (2009) “The advantages of laparoscopic cholecystectomy in old patients with acute calculous cholecystitis,” Abstracts of the 12th Russian congress of endoscopic surgeons, Endoscopic surgery. JurnalEndoskopicheskayaHirugiya], in Russian; 1: 45 - 51.
[8]
Shinke G, Noda T, Hatano H, et al (2015) Feasibility and Safety of Urgent Laparoscopic Cholecystectomy for Acute Cholecystitis after 4 Days from Symptom Onset. J Gastrointest Surg; 19:1787–1793.
[9]
Singer J &Mckeen R (1994) Laparoscopic cholecystectomy for acute or gangrenous cholecystitis. Am. J. Surg; 60: 326–8.
[10]
Kiviluoto T, Sinen J & Lwkkanen P (1998) Randomized trial of laparoscopic versus open cholecystectomy for acute and gangrenous cholecystitis. The Lancet; 351: 321-325.
[11]
Hunt D & Chu F (2000) Gangrenous cholecystitis in the laparoscopic era. Aust. N. Z. J. Surg; 70: 428–430.
[12]
Onder A, Kapan M, ¨Ulger B, et al (2015) Gangrenous Cholecystitis: Mortality and Risk Factors. IntSurg; 100:254–260.
[13]
Fagan S, Awad S, Rahwan K, et al (2003) Prognostic factors for the development of gangrenous cholecystitis. Am J Surg; 186 (5):481–485.
[14]
Aydın C, Altaca G, Berber I, et al (2006) Prognostic parameters for the prediction of acute gangrenous cholecystitis. J HepatobiliaryPancreatSurg; 13 (2):155–559.
[15]
Bennett G, Rusinek H, Lisi V, et al (2002) CT findings in acute gangrenous cholecystitis. AJR Am J Roentgenol; 178 (2):275-281.
[16]
Stefanidis D, Bingener J, Richards M, et al (2005) Gangrenous Cholecystitis in the Decade Before and After the Introduction of Laparoscopic Cholecystectomy. JSLS; 9:169–173.
[17]
Schafer M, Krahenbuhl L & Buchler M (2001) Predictive factors for the type of surgery in acute cholecystitis. Am J Surg; 182 (3):291–297.
[18]
Aydın C, Altaca G, Berber I, et al (2006) Prognostic parameters for the prediction of acute gangrenous cholecystitis. J Hepatobiliary Pancreat Surg; 13 (2):155–559.
[19]
Merriam L, Kanan S, Dawes L, et al (1999) Gangrenous cholecystitis: analysis of risk factors and experience with laparoscopic cholecystectomy. Surgery; 126 (4):680–685.
[20]
Khadjibaev A, Tajanov S, Khadjibaev F, et al (2011) Laparoscopic Cholecystectomy in acute gangrenous Cholecystitis. MHSJ; 5: 43-48.
[21]
Wevers K, van Westreenen H& PatijnG (2013) Laparoscopic cholecystectomy in acute cholecystitis: C-reactive protein level combined with age predicts conversion. Surg LaparoscEndoscPercutan Tech; 23:163–6.
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