Author/Authors :
Yücel, Ergün Haydarpaşa Teaching Hospital - Gulhane Military Medical Academy - Department of General Surgery, Turkey , Filiz, Ali İlker Haydarpaşa Teaching Hospital - Gulhane Military Medical Academy - Department of General Surgery, Turkey , Kurt, Yavuz Haydarpaşa Teaching Hospital - Gulhane Military Medical Academy - Department of General Surgery, Turkey , Balta, Ahmet Ziya Haydarpaşa Teaching Hospital - Gulhane Military Medical Academy - Department of General Surgery, Turkey , Okul, Oğuz Etimesgut Military Hospital - General Surgery Clinic, Turkey , Derici, Serhat Tolga Haydarpaşa Teaching Hospital - Gulhane Military Medical Academy - Department of General Surgery, Turkey , Akın, Mehmet Levhi Haydarpaşa Teaching Hospital - Gulhane Military Medical Academy - Department of General Surgery, Turkey
Abstract :
Aim. Laparoscopic cholecystectomy is the gold standard method in the treatment of elective symptomatic gallstones. In acute cholecystitis, the rate of conversion to an open procedure is 15-25% higher when compared to elective cases. In this study we aimed to evaluate the effectiveness of patients’ preoperative features, as these may affect the decision to convert to open surgery. Methods. This single-center study was conducted between June 2007-2009 with 122 patients who were treated for acute cholecystitis. The primary objective was to define the criterias for C-reactive protein, erythrocyte sedimentation rate, white blood count, gender and age for conversion to open procedure. Results. A total of 102 patients were included in the study. Laparoscopic cholecystectomy was successfully performed in 75 patients; and open conversion was required in 27 patients. The analysis showed that male gender, erythrocyte sedimentation rate and C-reactive protein levels, and severe ultrasonographic findings of acute cholecystitis in the conversion group were significantly different than in the laparoscopy group and these parameters were independent predictive factors of conversion. Conclusion. Male gender, high erythrocyte sedimentation rate and C-reactive protein levels and severe ultrasonographic findings are predictive actors which may help facilitate a conversion to open surgery.
NaturalLanguageKeyword :
Acute cholecystitis , laparoscopic cholecystectomy , C , reactive protein , erythrocyte sedimentation rate
