Document Detail


The role of laparoscopic cholecystectomy in the management of acute cholecystitis in patients with sickle cell disease.
MedLine Citation:
PMID:  12095599     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: As emergency surgery in sickle cell disease patients is associated with high morbidity, the aim of the study was to assess the safety of laparoscopic cholecystectomy in the acute state for these patients. METHODS: Over a 5-year period, April 1994 till December 1998, 35 sickle cell patients with acute cholecystitis had laparoscopic cholecystectomy within the first 5 days of presentation. A retrospective study of these was undertaken. RESULTS: Thirty-five patients were diagnosed as having acute cholecystitis with sickle cell disease. There were 26 female and 9 male patients; 5 patients needed preoperative and 1 patient needed postoperative endoscopic retrograde cholangiopancreatography. Twenty-seven patients needed simple transfusion and 8 needed partial exchange; conversion was necessary in two cases (5.7%). The mean hospital stay was 5.3 days and the complication rate was 17.5%. CONCLUSIONS: Because of the lack of significant complications, we believe that laparoscopic cholecystectomy for acute cholecystitis is safe and recommended in experienced hands with adequate preoperative preparation for patients with sickle cell disease.
Authors:
Abdulrahman Saleh Al-Mulhim; Faisal Mohammed Al-Mulhim; Abdulmohsen Abdulla Al-Suwaiygh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  183     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2002 Jun 
Date Detail:
Created Date:  2002-07-03     Completed Date:  2002-07-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  668-72     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, King Fahad Hospital, Hofuf, Al Hassa, Saudi Arabia. abdu3939@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Adult
Anemia, Sickle Cell / complications*
Child
Cholangiopancreatography, Endoscopic Retrograde
Cholecystectomy, Laparoscopic / methods*
Cholecystitis / etiology,  surgery*
Female
Hospitalization
Humans
Length of Stay
Male
Postoperative Complications*
Preoperative Care
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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