Gallbladder wall thickness adversely impacts the surgical outcome

Autor: Abdulrahman Alotaibi
Rok vydání: 2022
Předmět:
Zdroj: Annals of Hepato-Biliary-Pancreatic Surgery. 27:63-69
ISSN: 2508-5859
2508-5778
DOI: 10.14701/ahbps.22-067
Popis: To evaluate surgical outcomes of patients with gallbladder wall thickness (GBWT)5 mm.Patients who underwent cholecystectomy were classified into two groups according to their GBWT status (GBWT+ vs. GBWT-).Among 1,211 patients who underwent cholecystectomy, GBWT+ was seen in 177 (14.6%). The GBWT+ group was significantly older with more males, higher ASA score, higher alkaline phosphatase level, higher international normalized ratio, and lower albumin level than the GBWT- group. On ultrasound, GBWT+ patients had larger stone size, more pericholecystic fluid, more common bile duct stone, and more biliary pancreatitis. Compared with the GBWT- group, the GBWT+ group had more urgent surgeries (12.4% vs. 3.2%,Variables such as GBWT ≥ 5 mm, urgent prolonged operation, and postoperative drains are independent predictors of extended hospital stay. GBWT+ patients are twice likely to stay in hospital for more than 72 hours and more prone to develop complications than GBWT- patients.
Databáze: OpenAIRE