Laparoscopic cholecystectomy in acute cholecystitis
To determine the feasibility, operative risk and patients' benefit of laparoscopy in emergency cholecystectomy for acute calculous cholecystitis. From January 1991 to December 1998, 234 patients with acute calculous cholecystitis were operated on by emergency laparoscopic cholecystectomy. There...
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| Veröffentlicht in: | Chirurgie (Paris) 1999-04, Vol.124 (2), p.171-5; discussion 175-6 |
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| container_end_page | 5; discussion 175-6 |
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| container_title | Chirurgie (Paris) |
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| creator | el Madani, A Badawy, A Henry, C Nicolet, J Vons, C Smadja, C Franco, D |
| description | To determine the feasibility, operative risk and patients' benefit of laparoscopy in emergency cholecystectomy for acute calculous cholecystitis.
From January 1991 to December 1998, 234 patients with acute calculous cholecystitis were operated on by emergency laparoscopic cholecystectomy. There were 131 women and 103 men (mean age: 57 years), (Asa 2: 48%, Asa 3: 10%). In seven patients, choledocolithiasis was detected by endoscopic ultrasonography and preoperatively treated by endoscopic sphincterotomy. The mean delay between in-hospital admission and cholecystectomy was 20 hours (2-160). Cholecystectomy was performed with primary approach of Calot's triangle. Intraoperative cholangiography, selectively performed (n = 70), detected choledocolithiasis in three patients.
The mean duration of surgery was 149 minutes (62-313). The conversion rate was 13% and decreased through the years. The postoperative complication rate was 18%. Eight patients (3.4%) had an abdominal complication. One patient (0.4%) died of bile peritonitis after intraoperative undetected main bile duct injury. The mean postoperative hospital stay was 6.04 days. It was 3.5 days only, very old patients and those with severe associated disease being excluded.
Laparoscopy appears to be a good approach for emergency cholecystectomy in patients with acute calculous cholecystitis. |
| format | Article |
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From January 1991 to December 1998, 234 patients with acute calculous cholecystitis were operated on by emergency laparoscopic cholecystectomy. There were 131 women and 103 men (mean age: 57 years), (Asa 2: 48%, Asa 3: 10%). In seven patients, choledocolithiasis was detected by endoscopic ultrasonography and preoperatively treated by endoscopic sphincterotomy. The mean delay between in-hospital admission and cholecystectomy was 20 hours (2-160). Cholecystectomy was performed with primary approach of Calot's triangle. Intraoperative cholangiography, selectively performed (n = 70), detected choledocolithiasis in three patients.
The mean duration of surgery was 149 minutes (62-313). The conversion rate was 13% and decreased through the years. The postoperative complication rate was 18%. Eight patients (3.4%) had an abdominal complication. One patient (0.4%) died of bile peritonitis after intraoperative undetected main bile duct injury. The mean postoperative hospital stay was 6.04 days. It was 3.5 days only, very old patients and those with severe associated disease being excluded.
Laparoscopy appears to be a good approach for emergency cholecystectomy in patients with acute calculous cholecystitis.</description><identifier>ISSN: 0001-4001</identifier><identifier>PMID: 10349755</identifier><language>fre</language><publisher>France</publisher><subject>Acute Disease ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Cause of Death ; Cholangiography ; Cholecystectomy ; Cholecystectomy, Laparoscopic - adverse effects ; Cholecystitis - surgery ; Cholelithiasis - surgery ; Emergencies ; Endosonography ; Feasibility Studies ; Female ; Gallstones - diagnostic imaging ; Gallstones - surgery ; Humans ; Intraoperative Care ; Length of Stay ; Male ; Middle Aged ; Patient Admission ; Radiography, Interventional ; Risk Assessment ; Risk Factors ; Sphincterotomy, Endoscopic ; Time Factors</subject><ispartof>Chirurgie (Paris), 1999-04, Vol.124 (2), p.171-5; discussion 175-6</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10349755$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>el Madani, A</creatorcontrib><creatorcontrib>Badawy, A</creatorcontrib><creatorcontrib>Henry, C</creatorcontrib><creatorcontrib>Nicolet, J</creatorcontrib><creatorcontrib>Vons, C</creatorcontrib><creatorcontrib>Smadja, C</creatorcontrib><creatorcontrib>Franco, D</creatorcontrib><title>Laparoscopic cholecystectomy in acute cholecystitis</title><title>Chirurgie (Paris)</title><addtitle>Chirurgie</addtitle><description>To determine the feasibility, operative risk and patients' benefit of laparoscopy in emergency cholecystectomy for acute calculous cholecystitis.
From January 1991 to December 1998, 234 patients with acute calculous cholecystitis were operated on by emergency laparoscopic cholecystectomy. There were 131 women and 103 men (mean age: 57 years), (Asa 2: 48%, Asa 3: 10%). In seven patients, choledocolithiasis was detected by endoscopic ultrasonography and preoperatively treated by endoscopic sphincterotomy. The mean delay between in-hospital admission and cholecystectomy was 20 hours (2-160). Cholecystectomy was performed with primary approach of Calot's triangle. Intraoperative cholangiography, selectively performed (n = 70), detected choledocolithiasis in three patients.
The mean duration of surgery was 149 minutes (62-313). The conversion rate was 13% and decreased through the years. The postoperative complication rate was 18%. Eight patients (3.4%) had an abdominal complication. One patient (0.4%) died of bile peritonitis after intraoperative undetected main bile duct injury. The mean postoperative hospital stay was 6.04 days. It was 3.5 days only, very old patients and those with severe associated disease being excluded.
Laparoscopy appears to be a good approach for emergency cholecystectomy in patients with acute calculous cholecystitis.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cause of Death</subject><subject>Cholangiography</subject><subject>Cholecystectomy</subject><subject>Cholecystectomy, Laparoscopic - adverse effects</subject><subject>Cholecystitis - surgery</subject><subject>Cholelithiasis - surgery</subject><subject>Emergencies</subject><subject>Endosonography</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Gallstones - diagnostic imaging</subject><subject>Gallstones - surgery</subject><subject>Humans</subject><subject>Intraoperative Care</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Admission</subject><subject>Radiography, Interventional</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Sphincterotomy, Endoscopic</subject><subject>Time Factors</subject><issn>0001-4001</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFjz1rwzAYhDW0JGnav1A8dTPI-rCisYR-gaFLdiO9fkVU7Ei15MH_voKmdLk7uIeDuyE7SmlTiyJbcpfSVwmtVmxDtg3lQispd4R3Jpo5JAjRQwXnMCKsKSPkMK2Vv1QGloz_hc8-3ZNbZ8aED1ffk9Pry-n4Xnefbx_H566OUsgaUTLqHKfQMjrwVhuOTJsGuXWD0mBlIdqDddaAbtigVBFrmEAhmAXH9-TpdzbO4XvBlPvJJ8BxNBcMS-rLl4PmVBbw8QoudsKhj7OfzLz2fy_5D3Y2Tjg</recordid><startdate>199904</startdate><enddate>199904</enddate><creator>el Madani, A</creator><creator>Badawy, A</creator><creator>Henry, C</creator><creator>Nicolet, J</creator><creator>Vons, C</creator><creator>Smadja, C</creator><creator>Franco, D</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>199904</creationdate><title>Laparoscopic cholecystectomy in acute cholecystitis</title><author>el Madani, A ; Badawy, A ; Henry, C ; Nicolet, J ; Vons, C ; Smadja, C ; Franco, D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p545-ee520ff30c620d369a3e29a1e3bfd79cb5ee568bfbac912d7712dba24e442bcf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>1999</creationdate><topic>Acute Disease</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cause of Death</topic><topic>Cholangiography</topic><topic>Cholecystectomy</topic><topic>Cholecystectomy, Laparoscopic - adverse effects</topic><topic>Cholecystitis - surgery</topic><topic>Cholelithiasis - surgery</topic><topic>Emergencies</topic><topic>Endosonography</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Gallstones - diagnostic imaging</topic><topic>Gallstones - surgery</topic><topic>Humans</topic><topic>Intraoperative Care</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Admission</topic><topic>Radiography, Interventional</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Sphincterotomy, Endoscopic</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>el Madani, A</creatorcontrib><creatorcontrib>Badawy, A</creatorcontrib><creatorcontrib>Henry, C</creatorcontrib><creatorcontrib>Nicolet, J</creatorcontrib><creatorcontrib>Vons, C</creatorcontrib><creatorcontrib>Smadja, C</creatorcontrib><creatorcontrib>Franco, D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Chirurgie (Paris)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>el Madani, A</au><au>Badawy, A</au><au>Henry, C</au><au>Nicolet, J</au><au>Vons, C</au><au>Smadja, C</au><au>Franco, D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic cholecystectomy in acute cholecystitis</atitle><jtitle>Chirurgie (Paris)</jtitle><addtitle>Chirurgie</addtitle><date>1999-04</date><risdate>1999</risdate><volume>124</volume><issue>2</issue><spage>171</spage><epage>5; discussion 175-6</epage><pages>171-5; discussion 175-6</pages><issn>0001-4001</issn><abstract>To determine the feasibility, operative risk and patients' benefit of laparoscopy in emergency cholecystectomy for acute calculous cholecystitis.
From January 1991 to December 1998, 234 patients with acute calculous cholecystitis were operated on by emergency laparoscopic cholecystectomy. There were 131 women and 103 men (mean age: 57 years), (Asa 2: 48%, Asa 3: 10%). In seven patients, choledocolithiasis was detected by endoscopic ultrasonography and preoperatively treated by endoscopic sphincterotomy. The mean delay between in-hospital admission and cholecystectomy was 20 hours (2-160). Cholecystectomy was performed with primary approach of Calot's triangle. Intraoperative cholangiography, selectively performed (n = 70), detected choledocolithiasis in three patients.
The mean duration of surgery was 149 minutes (62-313). The conversion rate was 13% and decreased through the years. The postoperative complication rate was 18%. Eight patients (3.4%) had an abdominal complication. One patient (0.4%) died of bile peritonitis after intraoperative undetected main bile duct injury. The mean postoperative hospital stay was 6.04 days. It was 3.5 days only, very old patients and those with severe associated disease being excluded.
Laparoscopy appears to be a good approach for emergency cholecystectomy in patients with acute calculous cholecystitis.</abstract><cop>France</cop><pmid>10349755</pmid></addata></record> |
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| subjects | Acute Disease Adolescent Adult Aged Aged, 80 and over Cause of Death Cholangiography Cholecystectomy Cholecystectomy, Laparoscopic - adverse effects Cholecystitis - surgery Cholelithiasis - surgery Emergencies Endosonography Feasibility Studies Female Gallstones - diagnostic imaging Gallstones - surgery Humans Intraoperative Care Length of Stay Male Middle Aged Patient Admission Radiography, Interventional Risk Assessment Risk Factors Sphincterotomy, Endoscopic Time Factors |
| title | Laparoscopic cholecystectomy in acute cholecystitis |
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