Predicting Factors of the difficult laparoscopic cholecystectomy in Phatthalung Hospital
Keywords:
Conversion to open surgery, Difficult laparoscopic cholecystectomy, Gall stone, Laparoscopic cholecystectomyAbstract
Objective : To identify preoperative factors of difficult cholecystectomy and factors of conversion to open surgery in Phatthalung hospital. Design : Retrospective Cohort study.Material and methods : A review of the hospital database of all the patients who underwent Laparoscopic cholecystectomy
between January 2009 and July 2016 .Results : A total of 486 laparoscopic choleccystectomies.
24.5%was male and 75.5% was female. Mean of age was 51.4 (range 11-86 ) years , Easy group was 48.8 % and difficult group was 51.2% , conversion to open cholecystectomy was 9.3% and bile duct injury was 1.0% .Factors influence to the difficulty were Diagnosis related of severity of disease (p 0.003) .gall stone with CBD stone was more difficult than symptomatic gall stone (OR =25.13 ,95% CI 1.12-4.91, p 0.002) and DM(OR=2.35, 95% CI 1.12-4.91, p 0.019) and another factor was obesity (BMI>=30 kg/
m2) (OR 1.85 ,95%CI 1-3.42, p 0.046) . Factors influence to conversion were DM (OR=2.9,95%CI 1.15-7.3,p 0.032) and previous treatment with antibiotics (OR=2.7, 95%CI 1.42-5.14,p 0.002) Conclusion : LC is a safety operation in Phatthalung hospital .pre operative diagnosis DM and morbid obesity were
factors of difficult LC . DM and Previous treatment with antibiotic were factors of conversion to open cholecystectomy .
References
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4. Prashant S. Dhanke, Subodh P. Ugane.Factors predicting difficult laparoscopic cholecystectomy.Int J Stud Res 2014;4(1):3-7.
5. Ayanat H, Saurabh P, HumaF.Assessment of Operative Predictors for Difficulty in Laproscopic Cholecystectomy .International Journal of Contemporary Medical Reseach. 2016;3(4):1232-4.
6. OrhanBat.The analysis of 146 patients with difficult laparoscopic cholecystectomy. Int J ClinExp Med 2015;8(9):16127-31.
7. Agrawal N,Singh S, Khichy S. Preoperative Prediction of Difficult Laparoscopic Cholecystectomy: A
Scoring Method.Niger J Surg 2015;21:130-3.
8. Acharya A, AdhikariSK.Preoperative Scoring System to Predict Difficult Laparoscopic Cholecystectomy.
Postgraduate Medical journal of NAMS. 2012;12(1):45-50.
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difficulty and conversion in laparoscopic cholecystectomy. OA Minimally Invasive Surgery(Online).2013. [cited 2016 Oct 7]; 1(1):2. Available from:http://www.oapublishinglondon.com/images/article/pdf/1381969095.pdf
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Conversion to Open Procedure Can Be Predicted by Preoperative Ultrasonography.JSLS : Journal of the Society of Laparoendoscopic Surgeons. 2002;6(1):59-63.
12. RaffaeleC, FrancescoC,Carmela P, Luca N,LiberatoA,CarloC,Poalo I. Risk factor for conversion of laparoscopic cholecystectomy. Ann.Ital.Chir.[Online]. 2011.[cited 2016 Oct 7]. Available from:http://www.annaliitalianidichirurgia.it/PDF/ ONLINE/14_10_2011_2.pdf
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14. Sharma NK, Barlolia DK, Sukhadia M. Preooperative finding predict difficulty during cholecystectomy.
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15. Tadashi K, Taichi K, Toshio H, Toru Kawaoka,SakuraoH,Shintaro F. Predictors of prolonged laparoscopic cholecystectomy in the treatment of low-grade acute cholecystitis:a single-center ,retrospective observational study. Acute Medicine & Surgery. 2015;2:190-3.
16. OrhanB.The analysis of 146 patients with difficult laparoscopic cholecystectomy. Int J ClinExp med.2015;8(9):16127-31.
17. Ravindra N, Tejaswini VU, Prasad S, Ramakanth B, Vikram S, Basavaraj N. Predicting Difficult Laparoscopic Cholecystectomy Based on ClinicoradiologicalAsssessment. 2015;9(12): 09-12.
18. PrashantSD,Subodh PU. Factors predicting difficult laparoscopic cholecystectomy: a singleinstitution
experience.Int J Stud Res.2014;4(1): 3-7.
19. Marek S, Jozef R. A Risk score predict the difficulty of elective laparoscopic cholecystectomy.
WideochirInne Tech Maloinwazyjne.2014; 9(4) 608-12.
20. Acharya A, Adhikari SK. Preoperative ScoringSystem to Predict difficult Laparoscopic cholecystectomy.
Postgarduate Medical Journal of NAMS.2012;12(1)45-50.
21. Fried GM, Barkun JS, Sigman HH, Joseph L, Clas D, Garzon J, Hinchey EJ, Meakins JL. Factors
determining conversion to laparotomy in patients undergoing laparoscopic cholecystectomy . Am
J Surg. 1994;167(1):35-9.
22. Nikhil A, Sumitoj S, Sudhir K. Preoperative Predicting of Difficult Laparoscopic Cholecystectomy: A
Scoring Method. Niger J Surg. 2015;21:130-3.
23. Mittalgodu A, Krishna M, Murthy V, Alfred JA,Ranjith R. A comprehensive predictive scoring method for difficult laparoscopic cholecystectomy.J Minim Access Surg. 2014;10(2):62-7.
24. Bhar P, Halder SK, Ray RP, Bhattacharjee PK.Pre-operative Prediction of difficult Laparoscopic
Cholecystectomy. Indian Medical Gazette.2013;4:128-33.
25. Guida F, Monaco L, Schettino M, Porfidia R, Iapicca G. Predictive factors of difficult procedure in
octogenarians undergoing electivetomy laparoscopic cholecystectomy : a single center experience.
G Chir . 2016;37(2):68-70.
26. Seyed V, Seyed H. Evaluation postoperative complication of laparoscopic cholecystectectomy in diabetic patients. Int.J.Curr.Aca.Rev. 2014;2 (11):107-16.
27. Zhenfeng G, Peizhi L, Fangshang C, Dingyong T.The Clinical Analysis of Bile Duct Injury during
Laparoscopic Cholecystectomy. International Journal of Clinical Medicine. 2015;6:825-30.
28. Stephen BA, David WB, Daniel S, Gene DB, John GH. Bile Duct Injury During Laparoscopic Cholecystectomy
Result of a National Survey. Ann.Surg. 2001;234(4):549-59.
29. Ajay KS, Simon CC, Elijah D, Paul DG, Steven G,Bile Duct Injuries Associated With Laparoscopic
Cholecystectomy Timing of Repair and Long-termOutcomes. Arch Surg. 2010;145(8):757-763.
30. Karanikas M, Bozali F, Vamvakerou V, Markou M,MemetChasan ZT, Efraimidou E, Papavramidis
TS. Billary tract injuries after lap cholecystectomytypes,surgical intervention and timing. Ann Trans Med [Online].2016.[cited 2016 Nov 9]; 4(9):163.Available from: https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC4876287/
31. Malik AM. Difficult laparoscopic cholecystectomies.Is conversion a sensible option?. J Pak Med Assoc. 2015;65(7):698-700.
32.Sanniyasi S, Rajappa P, Thiyagarajan, Reddy A, Reddy A. Analysis of predictors of a difficult laparoscopic
cholecystcectomy .International Surgery Journal. 2016;3(3):1322-4.
33. Lim KR, Ibrahim S, Tan NC, Lim SH, Tay KH. Risk factors for to conversion to open surgery in Patients With Acute Cholecystitis Undergoing Interval Laparoscopic Cholecystectomy. Ann Acad Med Singapore. 2007;36:631-5.
2. ศักดิ์ชาย เรืองสิน, ธันต์ชนก วนสุวรรณกุล, สุรศักดิ์ สังขทัต ณ อยุธยา. ผลการผ่าตัดของผู้ป่วยที่มารับการ ผ่าตัดถุงน้ำดีโดยวิธีการส่องกล้องในโรงพยาบาลสงขลานครินทร์. สงขลานครินทร์เวชสาร 2550;25:315-21.
3. Lujan J, Parrilla P, RoblesbR, Marin P, Torralba J,Garcia-Ayllon J. Laparoscopic Cholecystectomy vs Open Cholecystectomy in the Treatment of Acute cholecystitis. Arch Surg. 1998;133(2):173-5.
4. Prashant S. Dhanke, Subodh P. Ugane.Factors predicting difficult laparoscopic cholecystectomy.Int J Stud Res 2014;4(1):3-7.
5. Ayanat H, Saurabh P, HumaF.Assessment of Operative Predictors for Difficulty in Laproscopic Cholecystectomy .International Journal of Contemporary Medical Reseach. 2016;3(4):1232-4.
6. OrhanBat.The analysis of 146 patients with difficult laparoscopic cholecystectomy. Int J ClinExp Med 2015;8(9):16127-31.
7. Agrawal N,Singh S, Khichy S. Preoperative Prediction of Difficult Laparoscopic Cholecystectomy: A
Scoring Method.Niger J Surg 2015;21:130-3.
8. Acharya A, AdhikariSK.Preoperative Scoring System to Predict Difficult Laparoscopic Cholecystectomy.
Postgraduate Medical journal of NAMS. 2012;12(1):45-50.
9. Jethwani U, Singh G, Mohil RS, Kandwal V, Razdan S, Chouhan J, Saroha R, Bansal N. Prediction of
difficulty and conversion in laparoscopic cholecystectomy. OA Minimally Invasive Surgery(Online).2013. [cited 2016 Oct 7]; 1(1):2. Available from:http://www.oapublishinglondon.com/images/article/pdf/1381969095.pdf
10. Singh K, Ohri A. Difficult laparoscopic cholecystectomy: A large series from north India. Indian J Surg 2006;68:205-8.
11. Lal P, Agarwal P, Malik VK, Chakravarti A. A Difficult Laparoscopic Cholecystectomy That Requires
Conversion to Open Procedure Can Be Predicted by Preoperative Ultrasonography.JSLS : Journal of the Society of Laparoendoscopic Surgeons. 2002;6(1):59-63.
12. RaffaeleC, FrancescoC,Carmela P, Luca N,LiberatoA,CarloC,Poalo I. Risk factor for conversion of laparoscopic cholecystectomy. Ann.Ital.Chir.[Online]. 2011.[cited 2016 Oct 7]. Available from:http://www.annaliitalianidichirurgia.it/PDF/ ONLINE/14_10_2011_2.pdf
13. Stanisic V, Milicevic M, KocevN,Stojanovic M,V;aovic D, Babic I, Vucetic N. Prediction of difficulties
in laparoscopic cholecystectomy on the base of routinely available parameters in a smaller regional hospital.European Review of Medical and Pharmacological Scientces. 2014;18:1204-11.
14. Sharma NK, Barlolia DK, Sukhadia M. Preooperative finding predict difficulty during cholecystectomy.
International Journal of Medical Research and Review.2015;3(10)1133-8.
15. Tadashi K, Taichi K, Toshio H, Toru Kawaoka,SakuraoH,Shintaro F. Predictors of prolonged laparoscopic cholecystectomy in the treatment of low-grade acute cholecystitis:a single-center ,retrospective observational study. Acute Medicine & Surgery. 2015;2:190-3.
16. OrhanB.The analysis of 146 patients with difficult laparoscopic cholecystectomy. Int J ClinExp med.2015;8(9):16127-31.
17. Ravindra N, Tejaswini VU, Prasad S, Ramakanth B, Vikram S, Basavaraj N. Predicting Difficult Laparoscopic Cholecystectomy Based on ClinicoradiologicalAsssessment. 2015;9(12): 09-12.
18. PrashantSD,Subodh PU. Factors predicting difficult laparoscopic cholecystectomy: a singleinstitution
experience.Int J Stud Res.2014;4(1): 3-7.
19. Marek S, Jozef R. A Risk score predict the difficulty of elective laparoscopic cholecystectomy.
WideochirInne Tech Maloinwazyjne.2014; 9(4) 608-12.
20. Acharya A, Adhikari SK. Preoperative ScoringSystem to Predict difficult Laparoscopic cholecystectomy.
Postgarduate Medical Journal of NAMS.2012;12(1)45-50.
21. Fried GM, Barkun JS, Sigman HH, Joseph L, Clas D, Garzon J, Hinchey EJ, Meakins JL. Factors
determining conversion to laparotomy in patients undergoing laparoscopic cholecystectomy . Am
J Surg. 1994;167(1):35-9.
22. Nikhil A, Sumitoj S, Sudhir K. Preoperative Predicting of Difficult Laparoscopic Cholecystectomy: A
Scoring Method. Niger J Surg. 2015;21:130-3.
23. Mittalgodu A, Krishna M, Murthy V, Alfred JA,Ranjith R. A comprehensive predictive scoring method for difficult laparoscopic cholecystectomy.J Minim Access Surg. 2014;10(2):62-7.
24. Bhar P, Halder SK, Ray RP, Bhattacharjee PK.Pre-operative Prediction of difficult Laparoscopic
Cholecystectomy. Indian Medical Gazette.2013;4:128-33.
25. Guida F, Monaco L, Schettino M, Porfidia R, Iapicca G. Predictive factors of difficult procedure in
octogenarians undergoing electivetomy laparoscopic cholecystectomy : a single center experience.
G Chir . 2016;37(2):68-70.
26. Seyed V, Seyed H. Evaluation postoperative complication of laparoscopic cholecystectectomy in diabetic patients. Int.J.Curr.Aca.Rev. 2014;2 (11):107-16.
27. Zhenfeng G, Peizhi L, Fangshang C, Dingyong T.The Clinical Analysis of Bile Duct Injury during
Laparoscopic Cholecystectomy. International Journal of Clinical Medicine. 2015;6:825-30.
28. Stephen BA, David WB, Daniel S, Gene DB, John GH. Bile Duct Injury During Laparoscopic Cholecystectomy
Result of a National Survey. Ann.Surg. 2001;234(4):549-59.
29. Ajay KS, Simon CC, Elijah D, Paul DG, Steven G,Bile Duct Injuries Associated With Laparoscopic
Cholecystectomy Timing of Repair and Long-termOutcomes. Arch Surg. 2010;145(8):757-763.
30. Karanikas M, Bozali F, Vamvakerou V, Markou M,MemetChasan ZT, Efraimidou E, Papavramidis
TS. Billary tract injuries after lap cholecystectomytypes,surgical intervention and timing. Ann Trans Med [Online].2016.[cited 2016 Nov 9]; 4(9):163.Available from: https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC4876287/
31. Malik AM. Difficult laparoscopic cholecystectomies.Is conversion a sensible option?. J Pak Med Assoc. 2015;65(7):698-700.
32.Sanniyasi S, Rajappa P, Thiyagarajan, Reddy A, Reddy A. Analysis of predictors of a difficult laparoscopic
cholecystcectomy .International Surgery Journal. 2016;3(3):1322-4.
33. Lim KR, Ibrahim S, Tan NC, Lim SH, Tay KH. Risk factors for to conversion to open surgery in Patients With Acute Cholecystitis Undergoing Interval Laparoscopic Cholecystectomy. Ann Acad Med Singapore. 2007;36:631-5.
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Published
2019-03-22
How to Cite
พูนแก้ว ธ. (2019). Predicting Factors of the difficult laparoscopic cholecystectomy in Phatthalung Hospital. Region 11 Medical Journal, 30(4), 251–260. Retrieved from https://he02.tci-thaijo.org/index.php/Reg11MedJ/article/view/179376
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