Surgical Management of Acute Cholecystitis (Experience of 249 Cases)

• Type: Article in International Scientific Journal
• Date: 2011

Authors

João Araújo Teixeira (Author) FMUP; André Pinho (Author) FMUP

Journal

Title: Hepato-Gastroenterology

Vol. 58

Pages: 281-284

ISSN: 0172-6390

Publisher: Thieme

Indexing

ISI Web of Knowledge - 3 Citations

Scopus - 4 Citations

Pubmed / Medline

Scientific classification

FOS: Medical and Health sciences > Clinical medicine

CORDIS: Health sciences > Medical sciences > Medicine > Surgery

Other information

Authenticus ID: P-002-TBJ

Abstract (EN): Background/Aims: Although laparoscopic cholecystectomy is the most widely used technique in the surgical treatment of acute cholecystitis, some schools continue to perform the open approach in the treatment of that disease. Our objective is to make a comparative analysis of results obtained with laparoscopic cholecystectomy (LC) and gall bladder removal by open cholecystectomy (OC). Methodology: The study includes 249 acute cholecystitis cases operated on between January 2007 to December 2008. Mean age was 60.9 years (+/- 16.6) (21-94 years); 51.8% men and 48.2% women. The diagnosis was made considering clinical, laboratory and echographic findings. There were 217 acute calculous cholecystititis and 32 noncalculous. Surgery was performed as follows: 167 LCs, 64 by OC and 18 percutaneous cholecystostomies (PC). Results: The comparative analysis of mortality and morbidity of LC with gall bladder removal by OC showed the following results: mortality (1.19% us 4.6% p=n.s.), major morbidity (5.3% us 31.25% p<0.001), lesions of the main bile duct (0.5% vs 3.1% p=n.s.) reoperation (3.6% vs 12.5% p<0.05) and hospital discharge up to 48 hours (69.5% vs 10.9% p<0.001). Conclusions: Laparoscopic cholecystectomy provides superior results to open cholecystectomy, and is therefore the first choice treatment in acute cholecystitis.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 4