Attenuation around the gallbladder on plain abdominal computed tomography as a predictor of surgical difficulty in laparoscopic cholecystectomy

Autor:	Toru Miyake, Sachiko Kaida, Hirokazu Kodama, Hiroya Iida, Aya Tokuda, Masaji Tani, Masatsugu Kojima, Katsushi Takebayashi, Hiromitsu Maehira, Haruki Mori
Rok vydání:	2021
Předmět:	medicine.medical_specialty Cholecystitis Acute Computed tomography Ct attenuation 03 medical and health sciences 0302 clinical medicine Blood loss Acute cholecystitis Humans Medicine Laparoscopic cholecystectomy laparoscopic cholecystectomy Retrospective Studies medicine.diagnostic_test business.industry Gallbladder fungi food and beverages computed tomography General Medicine Surgery medicine.anatomical_structure Cholecystectomy Laparoscopic 030220 oncology & carcinogenesis Operative time 030211 gastroenterology & hepatology Abdominal computed tomography Tomography X-Ray Computed business surgical difficulty
Zdroj:	Asian Journal of Endoscopic Surgery. 14:724-731
ISSN:	1758-5910 1758-5902
Popis:	Purpose:This study examined whether abdominal plain computed tomography (CT) can predict surgical difficulty in acute cholecystitis. Methods:We retrospectively analyzed 84 consecutive patients who underwent laparoscopic cholecystectomy for acute cholecystitis between January 2015 and December 2018. We distinguished three degrees of surgical difficulty based on the operative time and blood loss: difficult, both ≥120 minutes and ≥ 100 mL, respectively (n = 27); moderate, either ≥120 minutes or ≥ 100 mL, respectively (n = 30); and easy, both Results:Mean age, albumin levels, C-reactive protein levels, and the CT attenuation around the gallbladder (P < .001) were significantly different between groups. The surgical difficulty was unrelated to the timing of surgery. The postoperative complications were more frequent in operations more than 72 hours after disease onset (P = .04) and with CT attenuation around the gallbladder of ≥1.4 (P = .036). Conclusion:High attenuation around the gallbladder on plain CT predicted a high surgical difficulty of laparoscopic cholecystectomy. We recommend measuring the CT attenuation around the gallbladder in patients with acute cholecystitis.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d4abc73c5e6b24ac64fea80c346b09ac https://doi.org/10.1111/ases.12930 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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