Timing of cholecystectomy in recurrent attacks of acute cholecystitis
Yıl: 2022 Cilt: 28 Sayı: 4 Sayfa Aralığı: 508 - 512 Metin Dili: İngilizce DOI: 10.14744/tjtes.2022.81908 İndeks Tarihi: 10-05-2023
Timing of cholecystectomy in recurrent attacks of acute cholecystitis
Öz: BACKGROUND: Although laparoscopic cholecystectomy (LC) is the standard treatment for acute cholecystitis, its optimal timing is still controversial. In this study, our aim is to determine the appropriate cholecystectomy time by comparing the results of emergency and elective cholecystectomy in patients presenting with recurrent acute cholecystitis. METHODS: Between January 2019 and January 2022, the data of 434 patients who were scheduled for late cholecystectomy and were admitted to our hospital with recurrent cholecystitis attacks during the waiting period were retrospectively evaluated. Demographic data of patients, stage according to Tokyo Guidelines 2018, duration of hospital stay before and after surgery, surgery duration, open surgery rate, drain use, hollow organ injury, biliary tract injury, bleeding, wound infection, post-operative collection, and mortality rates were analyzed. RESULTS: Emergency LC (group 1) was performed in 176 (40.5%) of 434 patients presenting with recurrent cholecystitis, and elective LC (group 2) was performed in 258 (59.5%) patients. Pre-operative hospital stay was significantly longer in group 2, and mean surgery duration was significantly longer in group 1 (p=0.001 and p=0.035, respectively). Gastric or intestinal injury, biliary tract injury, wound infection, and mortality were not detected in either group. There was no significant difference between the groups in the rate of open surgery and postoperative collection rates (p>0.05). CONCLUSION: In centers experienced in hepatobiliary surgery, LC can be safely performed in recurrent acute cholecystitis attacks, regardless of symptom duration and the number of attacks.
Anahtar Kelime: Tekrarlayan akut kolesistit ataklarında kolesistektomi zamanlaması
Öz: AMAÇ: Laparoskopik kolesistektomi akut kolesistit tedavisinde standart tedavi olmasına rağmen optimal zamanı hala tartışmalıdır. Bu çalışmadaki amacımız, tekrarlayan akut kolesistit tablosuyla başvuran hastalarda acil ve elektif kolesistektominin sonuçlarını karşılaştırarak uygun kolesistektomi zamanını belirlemektir. GEREÇ VE YÖNTEM: Ocak 2019 ile Ocak 2022 tarihleri arasında geç kolesistektomi planlanan ve bekleme sürecinde tekrarlayan kolesistit atakları ile hastanemize başvuran 434 hastanın verileri geriye dönük olarak incelendi. Hastaların demografik verileri, Tokyo Guidelines 2018’e göre evresi, ameliyat öncesi ve sonrası hastanede kalış süresi, ameliyat süresi, açığa geçiş oranı, dren kullanımı, içi boş organ yaralanması, safra yolu yaralanması, kanama, yara yeri enfeksiyonu, ameliyat sonrası koleksiyon ve mortalite oranları değerlendirildi. BULGULAR: Tekrarlayan kolesistit atağı ile başvuran toplam 434 hastanın 176’sına (%40.5) acil laparoskopik kolesistektomi (grup 1), 258’ine (%59.5) elektif laparoskopik kolesistektomi (grup 2) uygulandı. Ameliyat öncesi hastanede yatış süresi grup 2’de, ortalama ameliyat süresi grup 1’de anlamlı olarak daha uzun idi (sırasıyla, p=0.001 ve p=0.035). Her iki grupta mide veya bağırsak yaralanması, safra yolu yaralanması, yara yeri enfeksiyonu ve mortalite saptanmadı. Gruplar arasında açığa geçiş ve ameliyat sonrası koleksiyon oranlarında anlamlı bir fark yoktu (p>0.05). TARTIŞMA: Hepatobiliyer cerrahide deneyimli merkezlerde, tekrarlayan akut kolesistit ataklarında semptom süresi ve atak sayısından bağımsız olarak laparoskopik kolesistektomi güvenle yapılabilir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Memişoğlu E, Sarı R (2022). Timing of cholecystectomy in recurrent attacks of acute cholecystitis. , 508 - 512. 10.14744/tjtes.2022.81908 |
| Chicago | Memişoğlu Ecem,Sarı Ramazan Timing of cholecystectomy in recurrent attacks of acute cholecystitis. (2022): 508 - 512. 10.14744/tjtes.2022.81908 |
| MLA | Memişoğlu Ecem,Sarı Ramazan Timing of cholecystectomy in recurrent attacks of acute cholecystitis. , 2022, ss.508 - 512. 10.14744/tjtes.2022.81908 |
| AMA | Memişoğlu E,Sarı R Timing of cholecystectomy in recurrent attacks of acute cholecystitis. . 2022; 508 - 512. 10.14744/tjtes.2022.81908 |
| Vancouver | Memişoğlu E,Sarı R Timing of cholecystectomy in recurrent attacks of acute cholecystitis. . 2022; 508 - 512. 10.14744/tjtes.2022.81908 |
| IEEE | Memişoğlu E,Sarı R "Timing of cholecystectomy in recurrent attacks of acute cholecystitis." , ss.508 - 512, 2022. 10.14744/tjtes.2022.81908 |
| ISNAD | Memişoğlu, Ecem - Sarı, Ramazan. "Timing of cholecystectomy in recurrent attacks of acute cholecystitis". (2022), 508-512. https://doi.org/10.14744/tjtes.2022.81908 |
| APA | Memişoğlu E, Sarı R (2022). Timing of cholecystectomy in recurrent attacks of acute cholecystitis. Ulusal Travma ve Acil Cerrahi Dergisi, 28(4), 508 - 512. 10.14744/tjtes.2022.81908 |
| Chicago | Memişoğlu Ecem,Sarı Ramazan Timing of cholecystectomy in recurrent attacks of acute cholecystitis. Ulusal Travma ve Acil Cerrahi Dergisi 28, no.4 (2022): 508 - 512. 10.14744/tjtes.2022.81908 |
| MLA | Memişoğlu Ecem,Sarı Ramazan Timing of cholecystectomy in recurrent attacks of acute cholecystitis. Ulusal Travma ve Acil Cerrahi Dergisi, vol.28, no.4, 2022, ss.508 - 512. 10.14744/tjtes.2022.81908 |
| AMA | Memişoğlu E,Sarı R Timing of cholecystectomy in recurrent attacks of acute cholecystitis. Ulusal Travma ve Acil Cerrahi Dergisi. 2022; 28(4): 508 - 512. 10.14744/tjtes.2022.81908 |
| Vancouver | Memişoğlu E,Sarı R Timing of cholecystectomy in recurrent attacks of acute cholecystitis. Ulusal Travma ve Acil Cerrahi Dergisi. 2022; 28(4): 508 - 512. 10.14744/tjtes.2022.81908 |
| IEEE | Memişoğlu E,Sarı R "Timing of cholecystectomy in recurrent attacks of acute cholecystitis." Ulusal Travma ve Acil Cerrahi Dergisi, 28, ss.508 - 512, 2022. 10.14744/tjtes.2022.81908 |
| ISNAD | Memişoğlu, Ecem - Sarı, Ramazan. "Timing of cholecystectomy in recurrent attacks of acute cholecystitis". Ulusal Travma ve Acil Cerrahi Dergisi 28/4 (2022), 508-512. https://doi.org/10.14744/tjtes.2022.81908 |
