| Autor: |
Yasukawa, Koya, Shimizu, Akira, Kubota, Koji, Notake, Tsuyoshi, Hayashi, Hikaru, Tomida, Hidenori, Kuroiwa, Yudai, Nakamura, Kenya, Hongo, Yuta, Soejima, Yuji |
| Zdroj: |
Journal of Hepato -- Biliary -- Pancreatic Sciences; Sep2023, Vol. 30 Issue 9, p1141-1151, 11p |
| Abstrakt: |
Background: The utility of the SAND balloon catheter in laparoscopic cholecystectomy for acute cholecystitis (AC) remains unclear. Methods: A retrospective cohort study of patients who underwent emergency cholecystectomy at Shinshu University was performed to evaluate the efficacy of the SAND balloon catheter in cases of AC (SAND balloon utilization: Group S, n = 44; non‐utilization: Group non‐S, n = 47). Results: The duration of surgery was significantly shorter in Group S than in Group non‐S (p =.031). Despite comparable incidences of blood transfusions in the two groups, intraoperative blood loss was significantly less in Group S than in Group non‐S (p =.013). The incidence of postoperative intraperitoneal infection tended to be higher in Group non‐S (p =.076). Within Group non‐S, bile spillage during operation was found in 16 (34.0%) patients. The multivariate analysis revealed that gangrenous AC was the strongest independent risk factor for bile spillage during operation (odds ratio [OR]: 19.1; 95% confidence interval [CI]: 2.84–78.4; p =.002), followed by surgeons with ≤10 years of experience (OR: 11.3; 95% CI: 1.81–70.6; p <.010). Conclusions: Implementation of the SAND balloon catheter in patients with AC is a safe and efficacious surgical option. This catheter is recommended in cases of gangrenous cholecystitis and for surgeons with limited experience. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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