Laparoscopic or open cholecystectomy in patients with sickle cell disease: which approach is superior?
Details
Serval ID
serval:BIB_D8D4A456679B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Laparoscopic or open cholecystectomy in patients with sickle cell disease: which approach is superior?
Journal
The European journal of surgery = Acta chirurgica
ISSN
1102-4151 (Print)
ISSN-L
1102-4151
Publication state
Published
Issued date
11/2000
Peer-reviewed
Oui
Volume
166
Number
11
Pages
859-861
Language
english
Notes
Publication types: Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Abstract
To compare laparoscopic with open cholecystectomy in patients with sickle cell disease.
Retrospective clinical study.
University hospital, Greece.
41 patients (22 men and 19 women) with sickle cell disease had laparoscopic cholecystectomy between September 1991 and June 1998. Each patient was matched for age, sex, year of operation, and number of preoperative transfusions with control patients with sickle cell disease who had open cholecystectomy.
Duration of operation, postoperative stay in hospital, incidence of complications, and conversion to open operation.
The mean operation time was 81.4 min (range 55-125) for open cholecystectomy and 64.2 min (range 45-90) for laparoscopic cholecystectomy (p < 0.01). Complications occurred in 5% (2/41) of the patients in the laparoscopic group and in 20% (8/41) of the patients in the open group (p = 0.04). The mean length of stay in hospital was 5.6 days (range 3-9) in the open group and 2.7 days (range 2-5) in the laparoscopic group (p < 0.01). Conversion to open operation was necessary in 2 (5%) patients.
Laparoscopic cholecystectomy resulted in a shorter hospital stay with fewer postoperative complications than open operation in patients with sickle cell disease and may be the procedure of choice in the treatment of cholelithiasis in such patients.
Retrospective clinical study.
University hospital, Greece.
41 patients (22 men and 19 women) with sickle cell disease had laparoscopic cholecystectomy between September 1991 and June 1998. Each patient was matched for age, sex, year of operation, and number of preoperative transfusions with control patients with sickle cell disease who had open cholecystectomy.
Duration of operation, postoperative stay in hospital, incidence of complications, and conversion to open operation.
The mean operation time was 81.4 min (range 55-125) for open cholecystectomy and 64.2 min (range 45-90) for laparoscopic cholecystectomy (p < 0.01). Complications occurred in 5% (2/41) of the patients in the laparoscopic group and in 20% (8/41) of the patients in the open group (p = 0.04). The mean length of stay in hospital was 5.6 days (range 3-9) in the open group and 2.7 days (range 2-5) in the laparoscopic group (p < 0.01). Conversion to open operation was necessary in 2 (5%) patients.
Laparoscopic cholecystectomy resulted in a shorter hospital stay with fewer postoperative complications than open operation in patients with sickle cell disease and may be the procedure of choice in the treatment of cholelithiasis in such patients.
Keywords
Adolescent, Adult, Analysis of Variance, Anemia, Sickle Cell/complications, Cholecystectomy/adverse effects, Cholecystectomy, Laparoscopic/adverse effects, Cholelithiasis/complications, Cholelithiasis/surgery, Data Interpretation, Statistical, Female, Humans, Length of Stay, Male, Middle Aged, Postoperative Complications, Retrospective Studies, Time Factors
Pubmed
Web of science
Create date
02/10/2019 10:25
Last modification date
06/10/2019 6:26
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