Surgical Management of Acute Cholecystitis (Experience of 249 Cases)

• Tipo: Artigo em Revista Científica Internacional
• Data: 2011

Autores

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

Revista

Título: Hepato-Gastroenterology

Vol. 58

Páginas: 281-284

ISSN: 0172-6390

Editora: Thieme

Indexação

ISI Web of Knowledge - 3 Citações

Scopus - 4 Citações

Pubmed / Medline

Classificação Científica

FOS: Ciências médicas e da saúde > Medicina clínica

CORDIS: Ciências da Saúde > Ciências Médicas > Medicina > Cirurgia

Outras Informações

ID Authenticus: 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.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 4