Usefulness of the Difficult Cholecystectomy Score according to laparoscopic conversion
Universidad Nacional de Córdoba..
Introduction: Biliary lithiasis (LB) is a very frequent problem in the daily consultation of a general surgeon, so currently, 10 to 15% of the adult population in the experienced countries has LB.
Methodology: A descriptive, observational and cross-sectional study was carried out with patients sometimes having a laparoscopic cholecystectomy in a period between January 1, 2018 and December 31, 2018. The main objective of this study is to determine the differences in the risk scoring means of difficult cholecystectomy according to the conversion to open surgery in patients diagnosed with symptomatic biliary lithiasis.
Results: Through the registered data, it can be said that being a man, with a leukocyte count> 12,000 mm3, with a BMI> 30, the presence of choledocholithiasis and a greater gallbladder cut with 3 mm are factors that increase the risk of conversion to open surgery in this series of patients. It is feasible and safe to use this score to determine the patients with the highest risk of conversion since all the independent factors identified are not modifiable.
Conclusion: In short, being a man, with a leukocyte count> 10,000 mm3, with a BMI> 30, the presence of choledocholithiasis and a gallbladder wall greater than 3 mm are factors that increase the risk of conversion to open surgery in a series of patients undergoing video laparoscopy. in a university hospital and it is feasible and safe to use this score to identify those patients with the highest risk of conversion.
Medienart: |
E-Artikel |
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Erscheinungsjahr: |
2020 |
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Erschienen: |
2020 |
Enthalten in: |
Zur Gesamtaufnahme - volume:77 |
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Enthalten in: |
Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) - 77(2020), 4 vom: 10. Dez., Seite 307-311 |
Sprache: |
Spanisch |
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Weiterer Titel: |
Utilidad del Score de la Colecistectomía Dificultosa según conversión laparoscópica |
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Beteiligte Personen: |
Carrizo, Santiago Pablo [VerfasserIn] |
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Links: |
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Themen: |
Acute cholecystitis |
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Anmerkungen: |
Date Completed 05.02.2021 Date Revised 05.02.2021 published: Electronic Citation Status MEDLINE |
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doi: |
10.31053/1853.0605.v77.n4.28903 |
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funding: |
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Förderinstitution / Projekttitel: |
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PPN (Katalog-ID): |
NLM319159655 |
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520 | |a Universidad Nacional de Córdoba. | ||
520 | |a Introduction: Biliary lithiasis (LB) is a very frequent problem in the daily consultation of a general surgeon, so currently, 10 to 15% of the adult population in the experienced countries has LB | ||
520 | |a Methodology: A descriptive, observational and cross-sectional study was carried out with patients sometimes having a laparoscopic cholecystectomy in a period between January 1, 2018 and December 31, 2018. The main objective of this study is to determine the differences in the risk scoring means of difficult cholecystectomy according to the conversion to open surgery in patients diagnosed with symptomatic biliary lithiasis | ||
520 | |a Results: Through the registered data, it can be said that being a man, with a leukocyte count> 12,000 mm3, with a BMI> 30, the presence of choledocholithiasis and a greater gallbladder cut with 3 mm are factors that increase the risk of conversion to open surgery in this series of patients. It is feasible and safe to use this score to determine the patients with the highest risk of conversion since all the independent factors identified are not modifiable | ||
520 | |a Conclusion: In short, being a man, with a leukocyte count> 10,000 mm3, with a BMI> 30, the presence of choledocholithiasis and a gallbladder wall greater than 3 mm are factors that increase the risk of conversion to open surgery in a series of patients undergoing video laparoscopy. in a university hospital and it is feasible and safe to use this score to identify those patients with the highest risk of conversion | ||
650 | 4 | |a Journal Article | |
650 | 4 | |a Observational Study | |
650 | 4 | |a cholecystectomy | |
650 | 4 | |a laparoscopic cholecystectomy | |
650 | 4 | |a acute cholecystitis | |
700 | 1 | |a Magris, Juan Martin |e verfasserin |4 aut | |
700 | 1 | |a Da Rosa, José Luis |e verfasserin |4 aut | |
700 | 1 | |a Garcias, Lucas Mariano |e verfasserin |4 aut | |
700 | 1 | |a Gramatica, Luis |e verfasserin |4 aut | |
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