Cholangiopancreatography, Endoscopic Retrograde, Cholecystectomy, Laparoscopic
Conditions
Keywords
Acute Cholecystitis, Laparoscopic Subtotal Cholecystectomy
Brief summary
Study is designed to investigate whether the history of ERCP is associated with subtotal cholecystectomy rates in patients underwent laparoscopic cholecystectomy operations with the diagnosis of acute cholecystitis.
Detailed description
The results of patients who underwent surgery for acute cholecystitis in a single center between January 2016 and December 2019 were included and evaluated retrospectively. Primary outcome was subtotal cholecystectomy rate. Secondary outcomes were conversion to open, complications and serious complications. Within examining demographic findings, operative records (rates for subtotal cholecystectomy and conversion to open, operative duration) and follow-up results (postoperative complications, serious complications, length of hospital stay and mortality) for all cases were investigated. Complications that Clavien-Dindo Score ≥ 3 accepted as serious complication. Intraoperative detection of gallbladder perforation was also noted and included in comparison. Any biliary tract complication that needed any percutaneous or endoscopic intervention to handle was named as biliary leak in the study.
Interventions
PROCEDUREERCP
Patients separated to two groups according to having a ERCP history before the operation
Sponsors
Bakirkoy Dr. Sadi Konuk Research and Training Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients operated with the diagnosis of acute cholecystitis with an age greater or equal to 18 years old in a single center between January 2016 and December 2019
Exclusion criteria
* Initial and direct preferance of open method * Being diagnosed with malignity after histopathological evaluation * Being operated just before one week after ERCP or after more than six weeks after ERCP
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Subtotal Cholecystectomy Rate | Intraoperative | Rate of patients needed subtotal cholecystectomy after initial intent of starting laparoscopic to the cholecystectomy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Conversion to open | Intraoperative | Rate of patients needed conversion to open after initial intent of starting laparoscopic to the cholecystectomy |
Other
| Measure | Time frame | Description |
|---|---|---|
| Duration of operation | Intraoperative | Duration of emergency with the diagnosis of acute cholecystitis |
| Complications | Postoperative first 90 days | Any complications experienced by patients who underwent emergency operation with the diagnosis of acute cholecystitis |
| Mortality | Postoperative first 90 days | Number of patients that died after the emergency operation with the diagnosis of acute cholecystitis |
| Length of hospital stay | Postoperative first 90 days | Number of days patient stayed with and after the emergency operation with the diagnosis of acute cholecystitis |
| Serious complications | Postoperative first 90 days | Any complications that has a Clavien-Dindo Score ≥ 3 experienced by patients who underwent emergency operation with the diagnosis of acute cholecystitis. (Clavien Dindo Score System that classifying post-operative complications in 5 main levels. Higher the score, the more significant complications. While level 1 is the lightest, level 5 means death) |
Countries
Turkey (Türkiye)
Outcome results
None listed