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Laparoscopic Cholecystectomy of Gangrenous Cholecystitis Safety and Feasibility

Received: 24 February 2018     Accepted: 11 March 2018     Published: 3 April 2018
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Abstract

Background: Laparoscopic Cholecystitis (LC) of gangrenous Cholecystitis (GC) which is a serious complication of acute Cholecystitis (AC) is challenging especially in the presence of dense inflammatory adhesions and pericholecystic collection. The aim of this study is to clarify the feasibility and safety of LC in GC. Materials and methods: This is a prospective study done in GIT and LAP surgery unit, General Surgery Department in Tanta university hospital between January 2014 and 2018 on 40 cases of GC from 350 cases of laparoscopymanaged AC. Demographic data, intraoperative time, difficulties of the procedure, postoperative ICU admission, and hospital stay and complications were recorded. Results: GC was suggested preoperatively from old age, DM, CVD, fever > 38°C, tachycardia > 90 beats /minute, leucocytosis> 13,000 /cumm and gallbladder wall thickening>4mm and pericholecystic collection. LC introduces shorter time less difficulties intraoperatively, less need for ICU, shorter hospital stay and less frequent postoperative morbidity. Conclusion: The use of LC in GC is feasible and safe.

Published in Advances in Surgical Sciences (Volume 6, Issue 1)
DOI 10.11648/j.ass.20180601.13
Page(s) 16-19
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Laparoscopic Cholecystectomy, Gangrenous Cholecystitis, Acute Cholecystitis

References
[1] Yamashita Y, Takada T & Hirata K (2006) A survey of the timing and approach to the surgical management of patients with acute cholecystitis in Japanese hospitals. J Hepatobiliary Pancreat Surg; 13: 409–415.
[2] Beldi G, Glattli A (2003) Laparoscopic subtotal cholecystectomy for severe cholecystitis. SurgEndosc; 17:1437–9.
[3] Shinke G, Noda T &Hatano H (2015) Feasibility and Safety of Urgent Laparoscopic Cholecystectomy for Acute Cholecystitis After 4 Days from Symptoms Onset. J Gastrointest Surg; 19:1787–1793.
[4] Bennett GL, Rusinek H, Lisi V, et al (2002) CT findings in acute gangrenous cholecystitis. AJR Am J Roentgenol; 178 (2):275-281.
[5] Sahu S, Agrawal S & Sachan P (2003) Intraoperative difficulties in laparoscopic cholecystomy. Jurnalul de Chirurgie (Iaşi); 9: 2-5.
[6] ContiniS, Corradi D, Busi N, et al (2004) Can gangrenous cholecystitis be prevented?: a plea against a ‘wait and see’ attitude. J Clin Gastroenterol; 38 (8):710-716.
[7] Ukhanov A, Baydo S, Chakhmachev S, et al (2009) “The advantages of laparoscopic cholecystectomy in old patients with acute calculous cholecystitis,” Abstracts of the 12th Russian congress of endoscopic surgeons, Endoscopic surgery. JurnalEndoskopicheskayaHirugiya], in Russian; 1: 45 - 51.
[8] Shinke G, Noda T, Hatano H, et al (2015) Feasibility and Safety of Urgent Laparoscopic Cholecystectomy for Acute Cholecystitis after 4 Days from Symptom Onset. J Gastrointest Surg; 19:1787–1793.
[9] Singer J &Mckeen R (1994) Laparoscopic cholecystectomy for acute or gangrenous cholecystitis. Am. J. Surg; 60: 326–8.
[10] Kiviluoto T, Sinen J & Lwkkanen P (1998) Randomized trial of laparoscopic versus open cholecystectomy for acute and gangrenous cholecystitis. The Lancet; 351: 321-325.
[11] Hunt D & Chu F (2000) Gangrenous cholecystitis in the laparoscopic era. Aust. N. Z. J. Surg; 70: 428–430.
[12] Onder A, Kapan M, ¨Ulger B, et al (2015) Gangrenous Cholecystitis: Mortality and Risk Factors. IntSurg; 100:254–260.
[13] Fagan S, Awad S, Rahwan K, et al (2003) Prognostic factors for the development of gangrenous cholecystitis. Am J Surg; 186 (5):481–485.
[14] Aydın C, Altaca G, Berber I, et al (2006) Prognostic parameters for the prediction of acute gangrenous cholecystitis. J HepatobiliaryPancreatSurg; 13 (2):155–559.
[15] Bennett G, Rusinek H, Lisi V, et al (2002) CT findings in acute gangrenous cholecystitis. AJR Am J Roentgenol; 178 (2):275-281.
[16] Stefanidis D, Bingener J, Richards M, et al (2005) Gangrenous Cholecystitis in the Decade Before and After the Introduction of Laparoscopic Cholecystectomy. JSLS; 9:169–173.
[17] Schafer M, Krahenbuhl L & Buchler M (2001) Predictive factors for the type of surgery in acute cholecystitis. Am J Surg; 182 (3):291–297.
[18] Aydın C, Altaca G, Berber I, et al (2006) Prognostic parameters for the prediction of acute gangrenous cholecystitis. J Hepatobiliary Pancreat Surg; 13 (2):155–559.
[19] Merriam L, Kanan S, Dawes L, et al (1999) Gangrenous cholecystitis: analysis of risk factors and experience with laparoscopic cholecystectomy. Surgery; 126 (4):680–685.
[20] Khadjibaev A, Tajanov S, Khadjibaev F, et al (2011) Laparoscopic Cholecystectomy in acute gangrenous Cholecystitis. MHSJ; 5: 43-48.
[21] Wevers K, van Westreenen H& PatijnG (2013) Laparoscopic cholecystectomy in acute cholecystitis: C-reactive protein level combined with age predicts conversion. Surg LaparoscEndoscPercutan Tech; 23:163–6.
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  • APA Style

    Sherif Abd-Al Fattah Saber, Ahmed Abd-Al Fattah Elshoura, Osama Hassan Abd-Raboh. (2018). Laparoscopic Cholecystectomy of Gangrenous Cholecystitis Safety and Feasibility. Advances in Surgical Sciences, 6(1), 16-19. https://doi.org/10.11648/j.ass.20180601.13

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    ACS Style

    Sherif Abd-Al Fattah Saber; Ahmed Abd-Al Fattah Elshoura; Osama Hassan Abd-Raboh. Laparoscopic Cholecystectomy of Gangrenous Cholecystitis Safety and Feasibility. Adv. Surg. Sci. 2018, 6(1), 16-19. doi: 10.11648/j.ass.20180601.13

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    AMA Style

    Sherif Abd-Al Fattah Saber, Ahmed Abd-Al Fattah Elshoura, Osama Hassan Abd-Raboh. Laparoscopic Cholecystectomy of Gangrenous Cholecystitis Safety and Feasibility. Adv Surg Sci. 2018;6(1):16-19. doi: 10.11648/j.ass.20180601.13

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  • @article{10.11648/j.ass.20180601.13,
      author = {Sherif Abd-Al Fattah Saber and Ahmed Abd-Al Fattah Elshoura and Osama Hassan Abd-Raboh},
      title = {Laparoscopic Cholecystectomy of Gangrenous Cholecystitis Safety and Feasibility},
      journal = {Advances in Surgical Sciences},
      volume = {6},
      number = {1},
      pages = {16-19},
      doi = {10.11648/j.ass.20180601.13},
      url = {https://doi.org/10.11648/j.ass.20180601.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20180601.13},
      abstract = {Background: Laparoscopic Cholecystitis (LC) of gangrenous Cholecystitis (GC) which is a serious complication of acute Cholecystitis (AC) is challenging especially in the presence of dense inflammatory adhesions and pericholecystic collection. The aim of this study is to clarify the feasibility and safety of LC in GC. Materials and methods: This is a prospective study done in GIT and LAP surgery unit, General Surgery Department in Tanta university hospital between January 2014 and 2018 on 40 cases of GC from 350 cases of laparoscopymanaged AC. Demographic data, intraoperative time, difficulties of the procedure, postoperative ICU admission, and hospital stay and complications were recorded. Results: GC was suggested preoperatively from old age, DM, CVD, fever > 38°C, tachycardia > 90 beats /minute, leucocytosis> 13,000 /cumm and gallbladder wall thickening>4mm and pericholecystic collection. LC introduces shorter time less difficulties intraoperatively, less need for ICU, shorter hospital stay and less frequent postoperative morbidity. Conclusion: The use of LC in GC is feasible and safe.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Laparoscopic Cholecystectomy of Gangrenous Cholecystitis Safety and Feasibility
    AU  - Sherif Abd-Al Fattah Saber
    AU  - Ahmed Abd-Al Fattah Elshoura
    AU  - Osama Hassan Abd-Raboh
    Y1  - 2018/04/03
    PY  - 2018
    N1  - https://doi.org/10.11648/j.ass.20180601.13
    DO  - 10.11648/j.ass.20180601.13
    T2  - Advances in Surgical Sciences
    JF  - Advances in Surgical Sciences
    JO  - Advances in Surgical Sciences
    SP  - 16
    EP  - 19
    PB  - Science Publishing Group
    SN  - 2376-6182
    UR  - https://doi.org/10.11648/j.ass.20180601.13
    AB  - Background: Laparoscopic Cholecystitis (LC) of gangrenous Cholecystitis (GC) which is a serious complication of acute Cholecystitis (AC) is challenging especially in the presence of dense inflammatory adhesions and pericholecystic collection. The aim of this study is to clarify the feasibility and safety of LC in GC. Materials and methods: This is a prospective study done in GIT and LAP surgery unit, General Surgery Department in Tanta university hospital between January 2014 and 2018 on 40 cases of GC from 350 cases of laparoscopymanaged AC. Demographic data, intraoperative time, difficulties of the procedure, postoperative ICU admission, and hospital stay and complications were recorded. Results: GC was suggested preoperatively from old age, DM, CVD, fever > 38°C, tachycardia > 90 beats /minute, leucocytosis> 13,000 /cumm and gallbladder wall thickening>4mm and pericholecystic collection. LC introduces shorter time less difficulties intraoperatively, less need for ICU, shorter hospital stay and less frequent postoperative morbidity. Conclusion: The use of LC in GC is feasible and safe.
    VL  - 6
    IS  - 1
    ER  - 

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Author Information
  • General Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt

  • General Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt

  • General Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt

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