Document Detail

Laparoscopic cholecystectomy (LC): predictive role of preoperative ultrasounds.
MedLine Citation:
PMID:  15934630     Owner:  NLM     Status:  MEDLINE    
AIM: We studied several ultrasounds patterns concerning gallbladder, biliary tract and gallstones to identify some predictive signs of difficulties during LC. PATIENTS & METHODS: 112 patients (24 females), 25-75 years old, upper abdomen operated patients not included. From 7 ultrasounds patterns 4 degrees of potential intra-operative difficulty (0-3) were obtained. During the operation 7 conditions of true intra-operative problems were also classified. RESULTS: Patients showing grade 0: regular gallbladder wall stones < 20 mm, regular Main Biliary Tract (MBT) = 62 LC and 2 open surgery conversion (OSC); grade 1: wall < 4 mm, stones > 20 mm= 24 LC and 7 OSC; grade 2: hydrops, wall > 4 mm, infundibular stone = 6 LC and 6 OSC, grade 3: wall > 4 mm, stones > 20 mm, empyema of gallbladder, MBT > or = 6 mm = 3 LC and 0 OSC. Inflammation near gallbladder and wall > 4 mm were mainly responsible for transition of LC in OSC. CONCLUSION: Several predictive conditions for intraoperative difficulties are often detectable by accurate preoperative ultrasounds examination, with the aim of best surgical planning and to select those patients to entrust to surgeons during their learning phase.
V Minutolo; G Gagliano; C Rinzivillo; O Minutolo; B Scilletta; G Li Destri
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Il Giornale di chirurgia     Volume:  26     ISSN:  0391-9005     ISO Abbreviation:  G Chir     Publication Date:  2005 Mar 
Date Detail:
Created Date:  2005-06-06     Completed Date:  2005-08-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9011768     Medline TA:  G Chir     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  101-4     Citation Subset:  IM    
First Surgical Department, Clinical Division of General Surgery, University Policlinic of Catania, Italy.
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MeSH Terms
Cholecystectomy, Laparoscopic*
Cholelithiasis / surgery*,  ultrasonography*
Middle Aged
Predictive Value of Tests
Preoperative Care* / methods
Retrospective Studies
Treatment Outcome

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