What necessitates the conversion to open cholecystectomy? A retrospective analysis of 5164 consecutive laparoscopic operations
Autor(a) principal: | |
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Data de Publicação: | 2011 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/19230 |
Resumo: | OBJECTIVE: Laparoscopic cholecystectomy (LC) has become the gold standard for the surgical treatment of gallbladder disease, but conversion to open cholecystectomy is still inevitable in certain cases. Knowledge of the rate and impact of the underlying reasons for conversion could help surgeons during preoperative assessment and improve the informed consent of patients. We decided to review the rate and causes of conversion from laparoscopic to open cholecystectomy. METHOD: This study included all laparoscopic cholecystectomies due to gallstone disease undertaken from May 1999 to June 2010. The exclusion criteria were malignancy and/or existence of gallbladder polyps detected pathologically. Patient demographics, indications for cholecystectomy, concomitant diseases, and histories of previous abdominal surgery were collected. The rate of conversion to open cholecystectomy, the underlying reasons for conversion, and postoperative complications were also analyzed. RESULTS: Of 5382 patients for whom LC was attempted, 5164 were included this study. The overall rate of conversion to open cholecystectomy was 3.16% (163 patients). There were 84 male and 79 female patients; the mean age was 52.04 years (range: 26-85). The conversion rates in male and female patients were 5.6% and 2.2%, respectively (p |
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Clinics |
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What necessitates the conversion to open cholecystectomy? A retrospective analysis of 5164 consecutive laparoscopic operations Laparoscopic CholecystectomyAcute CholecystitisGallbladderConversionLaparoscopy OBJECTIVE: Laparoscopic cholecystectomy (LC) has become the gold standard for the surgical treatment of gallbladder disease, but conversion to open cholecystectomy is still inevitable in certain cases. Knowledge of the rate and impact of the underlying reasons for conversion could help surgeons during preoperative assessment and improve the informed consent of patients. We decided to review the rate and causes of conversion from laparoscopic to open cholecystectomy. METHOD: This study included all laparoscopic cholecystectomies due to gallstone disease undertaken from May 1999 to June 2010. The exclusion criteria were malignancy and/or existence of gallbladder polyps detected pathologically. Patient demographics, indications for cholecystectomy, concomitant diseases, and histories of previous abdominal surgery were collected. The rate of conversion to open cholecystectomy, the underlying reasons for conversion, and postoperative complications were also analyzed. RESULTS: Of 5382 patients for whom LC was attempted, 5164 were included this study. The overall rate of conversion to open cholecystectomy was 3.16% (163 patients). There were 84 male and 79 female patients; the mean age was 52.04 years (range: 26-85). The conversion rates in male and female patients were 5.6% and 2.2%, respectively (pHospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2011-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/1923010.1590/S1807-59322011000300009Clinics; Vol. 66 No. 3 (2011); 417-420 Clinics; v. 66 n. 3 (2011); 417-420 Clinics; Vol. 66 Núm. 3 (2011); 417-420 1980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/19230/21293Genc, VolkanSulaimanov, MarlenCipe, GokhanBasceken, Salim IlksenErverdi, NezihGurel, MehmetAras, NusretHazinedaroglu, Selcuk Minfo:eu-repo/semantics/openAccess2012-05-23T16:28:47Zoai:revistas.usp.br:article/19230Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2012-05-23T16:28:47Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
What necessitates the conversion to open cholecystectomy? A retrospective analysis of 5164 consecutive laparoscopic operations |
title |
What necessitates the conversion to open cholecystectomy? A retrospective analysis of 5164 consecutive laparoscopic operations |
spellingShingle |
What necessitates the conversion to open cholecystectomy? A retrospective analysis of 5164 consecutive laparoscopic operations Genc, Volkan Laparoscopic Cholecystectomy Acute Cholecystitis Gallbladder Conversion Laparoscopy |
title_short |
What necessitates the conversion to open cholecystectomy? A retrospective analysis of 5164 consecutive laparoscopic operations |
title_full |
What necessitates the conversion to open cholecystectomy? A retrospective analysis of 5164 consecutive laparoscopic operations |
title_fullStr |
What necessitates the conversion to open cholecystectomy? A retrospective analysis of 5164 consecutive laparoscopic operations |
title_full_unstemmed |
What necessitates the conversion to open cholecystectomy? A retrospective analysis of 5164 consecutive laparoscopic operations |
title_sort |
What necessitates the conversion to open cholecystectomy? A retrospective analysis of 5164 consecutive laparoscopic operations |
author |
Genc, Volkan |
author_facet |
Genc, Volkan Sulaimanov, Marlen Cipe, Gokhan Basceken, Salim Ilksen Erverdi, Nezih Gurel, Mehmet Aras, Nusret Hazinedaroglu, Selcuk M |
author_role |
author |
author2 |
Sulaimanov, Marlen Cipe, Gokhan Basceken, Salim Ilksen Erverdi, Nezih Gurel, Mehmet Aras, Nusret Hazinedaroglu, Selcuk M |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Genc, Volkan Sulaimanov, Marlen Cipe, Gokhan Basceken, Salim Ilksen Erverdi, Nezih Gurel, Mehmet Aras, Nusret Hazinedaroglu, Selcuk M |
dc.subject.por.fl_str_mv |
Laparoscopic Cholecystectomy Acute Cholecystitis Gallbladder Conversion Laparoscopy |
topic |
Laparoscopic Cholecystectomy Acute Cholecystitis Gallbladder Conversion Laparoscopy |
description |
OBJECTIVE: Laparoscopic cholecystectomy (LC) has become the gold standard for the surgical treatment of gallbladder disease, but conversion to open cholecystectomy is still inevitable in certain cases. Knowledge of the rate and impact of the underlying reasons for conversion could help surgeons during preoperative assessment and improve the informed consent of patients. We decided to review the rate and causes of conversion from laparoscopic to open cholecystectomy. METHOD: This study included all laparoscopic cholecystectomies due to gallstone disease undertaken from May 1999 to June 2010. The exclusion criteria were malignancy and/or existence of gallbladder polyps detected pathologically. Patient demographics, indications for cholecystectomy, concomitant diseases, and histories of previous abdominal surgery were collected. The rate of conversion to open cholecystectomy, the underlying reasons for conversion, and postoperative complications were also analyzed. RESULTS: Of 5382 patients for whom LC was attempted, 5164 were included this study. The overall rate of conversion to open cholecystectomy was 3.16% (163 patients). There were 84 male and 79 female patients; the mean age was 52.04 years (range: 26-85). The conversion rates in male and female patients were 5.6% and 2.2%, respectively (p |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/19230 10.1590/S1807-59322011000300009 |
url |
https://www.revistas.usp.br/clinics/article/view/19230 |
identifier_str_mv |
10.1590/S1807-59322011000300009 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/19230/21293 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 66 No. 3 (2011); 417-420 Clinics; v. 66 n. 3 (2011); 417-420 Clinics; Vol. 66 Núm. 3 (2011); 417-420 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222756275486720 |