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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
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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), 2024. Published by Science Publishing Group

Keywords

Laparoscopic Cholecystectomy, Gangrenous Cholecystitis, Acute Cholecystitis

References
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[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.
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[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.
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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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