Open versus laparoscopic completion cholecystectomy in patients with previous open partial cholecystectomy: a retrospective comparative study.

Autor:	Nafea MA; Al-Azhar University Faculty of Medicine, Cairo, Egypt., Elshafey MH; Al-Azhar University Faculty of Medicine, Cairo, Egypt., Hegab A; Al-Azhar University Faculty of Medicine, Cairo, Egypt., Seleem A; Al-Azhar University Faculty of Medicine, Cairo, Egypt., Rafat W; Al-Azhar University Faculty of Medicine, Cairo, Egypt., Khairy M; Al-Azhar University Faculty of Medicine, Cairo, Egypt., Elaskary H; Al-Azhar University Faculty of Medicine, Cairo, Egypt., Mohamed YM; Al-Azhar University Faculty of Medicine, Cairo, Egypt., Monazea K; Al-Azhar University Faculty of Medicine, Cairo, Egypt., Salem A; Al-Azhar University Faculty of Medicine, Cairo, Egypt.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2024 Aug 06; Vol. 86 (10), pp. 5688-5695. Date of Electronic Publication: 2024 Aug 06 (Print Publication: 2024).
DOI:	10.1097/MS9.0000000000002428
Abstrakt:	Background: Some patients report recurrence or persistence of their manifestations after cholecystectomy, and retained gallstones may be a relevant etiology for their complaint. Completion cholecystectomy is advised for these cases to alleviate their manifestations. No previous studies have compared the outcomes of open versus laparoscopic outcomes in these patients, especially in patients who had initial open partial procedures. That is why we performed this study to report the perioperative outcomes of the two approaches in such patients. Methodology: This is a retrospective analysis of 80 patients who had a completion cholecystectomy in the authors' center (40 open and 40 laparoscopic cases) after initial open partial cholecystectomy. Results: The duration elapsed since the primary procedure had an average of 18 months in the open group and 21 months in the laparoscopic group. Abdominal pain and dyspepsia were the most common presentations. Some patients had stump cholecystitis or jaundice. The intraoperative assessment revealed either the residual gallbladder or a long cystic duct stump. Laparoscopy yielded shorter operative time, earlier oral intake, and shorter hospitalization periods compared to the open approach ( P <0.05). The latter was associated with a 20% wound infection rate that was never encountered after laparoscopy ( P = 0.003). Conclusion: Previous open partial cholecystectomy does not hinder subsequent laparoscopic completion cholecystectomy. Additionally, laparoscopy is associated with better perioperative outcomes than the open approach. Competing Interests: The authors have no conflict of interests. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu