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Laparoscopic Surgery in Very Acute Cholecystitis

The objective of this study was to demonstrate the safety and feasibility of laparoscopic cholecystectomy in empyematous or gangrenous cholecystitis. During the period from August 1998 to April 2000, we operated laparoscopically on 64 patients, without any selection, in which we established, preoper...

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Detalles Bibliográficos
Autores principales: Ubiali, Paolo, Invernizzi, Rocco, Prezzati, Francesco
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2002
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3043426/
https://www.ncbi.nlm.nih.gov/pubmed/12113421
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author Ubiali, Paolo
Invernizzi, Rocco
Prezzati, Francesco
author_facet Ubiali, Paolo
Invernizzi, Rocco
Prezzati, Francesco
author_sort Ubiali, Paolo
collection PubMed
description The objective of this study was to demonstrate the safety and feasibility of laparoscopic cholecystectomy in empyematous or gangrenous cholecystitis. During the period from August 1998 to April 2000, we operated laparoscopically on 64 patients, without any selection, in which we established, preoperatively or intraoperatively, the diagnosis of empyematous or gangrenous cholecystitis using clinical criteria (fever, leukocytosis, persistent pain, abdominal tenderness or guarding), echographic findings and intraoperative or pathological aspects of the gallbladder. The operations were performed by experienced surgeons skillful in advanced laparoscopic procedure. We concluded successfully 59 operations. The five conversions were due to dense adhesions because of previous gastric surgery in 3 cases, to the lack of recognizing the anatomy of the biliary tree in one case and to a choledoco-duodenal fistula in the last case. No mortality and a very low morbidity with a short hospital stay, were noted in our study. We consider patients with very acute cholecystitis to be candidates for a laparoscopic approach.
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spelling pubmed-30434262011-03-22 Laparoscopic Surgery in Very Acute Cholecystitis Ubiali, Paolo Invernizzi, Rocco Prezzati, Francesco JSLS Scientific Papers The objective of this study was to demonstrate the safety and feasibility of laparoscopic cholecystectomy in empyematous or gangrenous cholecystitis. During the period from August 1998 to April 2000, we operated laparoscopically on 64 patients, without any selection, in which we established, preoperatively or intraoperatively, the diagnosis of empyematous or gangrenous cholecystitis using clinical criteria (fever, leukocytosis, persistent pain, abdominal tenderness or guarding), echographic findings and intraoperative or pathological aspects of the gallbladder. The operations were performed by experienced surgeons skillful in advanced laparoscopic procedure. We concluded successfully 59 operations. The five conversions were due to dense adhesions because of previous gastric surgery in 3 cases, to the lack of recognizing the anatomy of the biliary tree in one case and to a choledoco-duodenal fistula in the last case. No mortality and a very low morbidity with a short hospital stay, were noted in our study. We consider patients with very acute cholecystitis to be candidates for a laparoscopic approach. Society of Laparoendoscopic Surgeons 2002 /pmc/articles/PMC3043426/ /pubmed/12113421 Text en © 2002 by JSLS, Journal of the Society of Laparoendoscopic Surgeons
spellingShingle Scientific Papers
Ubiali, Paolo
Invernizzi, Rocco
Prezzati, Francesco
Laparoscopic Surgery in Very Acute Cholecystitis
title Laparoscopic Surgery in Very Acute Cholecystitis
title_full Laparoscopic Surgery in Very Acute Cholecystitis
title_fullStr Laparoscopic Surgery in Very Acute Cholecystitis
title_full_unstemmed Laparoscopic Surgery in Very Acute Cholecystitis
title_short Laparoscopic Surgery in Very Acute Cholecystitis
title_sort laparoscopic surgery in very acute cholecystitis
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3043426/
https://www.ncbi.nlm.nih.gov/pubmed/12113421
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AT prezzatifrancesco laparoscopicsurgeryinveryacutecholecystitis