The impact of antithrombotic therapy in patients undergoing emergency laparoscopic cholecystectomy for acute cholecystitis - A single center experience
| Autor: | Daisuke Kawahara, Shigeki Minami, Masataka Hirabaru, Hajime Imamura, Keiji Inoue, Michi Morita, Yuriko Isagawa, Hirotaka Tokai, Susumu Eguchi, Masashi Haraguchi, Kazumasa Noda |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Blood transfusion medicine.medical_treatment Cholecystitis Acute 030230 surgery Single Center 03 medical and health sciences 0302 clinical medicine Fibrinolytic Agents Antithrombotic Acute cholecystitis Medicine Humans Cholecystectomy Laparoscopic cholecystectomy Retrospective Studies business.industry Gallbladder Retrospective cohort study General Medicine Perioperative Surgery medicine.anatomical_structure Treatment Outcome Cholecystectomy Laparoscopic 030220 oncology & carcinogenesis Acute Disease business |
| Zdroj: | Asian journal of endoscopic surgeryREFERENCES. 13(3) |
| ISSN: | 1758-5910 |
| Popis: | AIM The risk of developing hemorrhagic complications during or after surgery in patients receiving antithrombotic therapy remains uncertain. Moreover, the impact of antithrombotic therapy under an acute inflammatory status is unclear. We investigated the impact of antithrombotic therapy in patients undergoing emergency laparoscopic cholecystectomy for acute cholecystitis. METHODS This record-based retrospective study included patients who underwent emergency laparoscopic cholecystectomy for acute cholecystitis between September 2015 and January 2019. Patients who received elective laparoscopic cholecystectomy, open cholecystectomy, or gallbladder drainage before surgery were excluded. We evaluated the diseases for which antithrombotic therapy was administered, background characteristics, laboratory parameters and perioperative outcomes of patients with acute cholecystitis. The primary outcomes were intraoperative bleeding, blood transfusion requirement, conversion to an open procedure, and postoperative complications, including bleeding. RESULTS One hundred and twenty-one patients (non-antithrombotic therapy, n = 92; antithrombotic therapy, n = 29) were analyzed. There were differences in age and American Association of Anesthesiologists class (P |
| Databáze: | OpenAIRE |
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