Predictive Factors for Difficult Laparoscopic Cholecystectomies in Acute Cholecystitis.

ABSTRACT: Laparoscopic cholecystectomy (LC) is the gold standard treatment in acute cholecystitis. However, one in six cases is expected to be difficult due to intense inflammation and suspected adherence to and involvement of adjacent important structures, which may predispose patients to higher risk of vascular and biliary injuries. In this study, we aimed to identify the preoperative parameters with predictive value for surgical difficulties. A retrospective study of 255 patients with acute cholecystitis admitted in emergency was performed between 2019 and 2023. Patients in the difficult laparoscopic cholecystectomy (DLC) group experienced more complications compared to the normal LC group (33.3% vs. 15.3%, p < 0.001). Age (p = 0.009), male sex (p = 0.03), diabetes (p

SUBMITTER: Stoica PL 

PROVIDER: S-EPMC10855974 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature