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Gallbladder wall thickness adversely impacts the surgical outcome
BACKGROUNDS/AIMS: To evaluate surgical outcomes of patients with gallbladder wall thickness (GBWT) > 5 mm. METHODS: Patients who underwent cholecystectomy were classified into two groups according to their GBWT status (GBWT+ vs. GBWT–). RESULTS: Among 1,211 patients who underwent cholecystectomy,...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Korean Association of Hepato-Biliary-Pancreatic Surgery
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9947375/ https://www.ncbi.nlm.nih.gov/pubmed/36536504 http://dx.doi.org/10.14701/ahbps.22-067 |
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author | Alotaibi, Abdulrahman Muaod |
author_facet | Alotaibi, Abdulrahman Muaod |
author_sort | Alotaibi, Abdulrahman Muaod |
collection | PubMed |
description | BACKGROUNDS/AIMS: To evaluate surgical outcomes of patients with gallbladder wall thickness (GBWT) > 5 mm. METHODS: Patients who underwent cholecystectomy were classified into two groups according to their GBWT status (GBWT+ vs. GBWT–). RESULTS: Among 1,211 patients who underwent cholecystectomy, GBWT+ was seen in 177 (14.6%). The GBWT+ group was significantly older with more males, higher ASA score, higher alkaline phosphatase level, higher international normalized ratio, and lower albumin level than the GBWT– group. On ultrasound, GBWT+ patients had larger stone size, more pericholecystic fluid, more common bile duct stone, and more biliary pancreatitis. Compared with the GBWT– group, the GBWT+ group had more urgent surgeries (12.4% vs. 3.2%, p = 0.001), higher conversion rate (4.5% vs. 0.3%, p = 0.001), prolonged operative time (67 ± 38 vs. 54 ± 29 min; p = 0.001), more bleeding (3.4% vs. 0.5%, p = 0.002), and more need of drain (21.5% vs. 10.5%, p = 0.001). By multivariate analysis, factors associated with increased length of hospital stay were GBWT+ (HR: 1.97, 95% CI: 1.19–3.25, p = 0.008), urgent surgery (HR: 10.2, 95% CI: 4.07–25.92, p = 0.001), prolonged surgery (HR: 1.01, 95% CI: 1.0–1.02, p = 0.001), and postoperative drain (HR: 11.3, 95% CI: 6.40–20.0, p = 0.001). CONCLUSIONS: Variables such as GBWT ≥ 5 mm, urgent prolonged operation, and postoperative drains are independent predictors of extended hospital stay. GBWT+ patients are twice likely to stay in hospital for more than 72 hours and more prone to develop complications than GBWT– patients. |
format | Online Article Text |
id | pubmed-9947375 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | The Korean Association of Hepato-Biliary-Pancreatic Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-99473752023-02-24 Gallbladder wall thickness adversely impacts the surgical outcome Alotaibi, Abdulrahman Muaod Ann Hepatobiliary Pancreat Surg Original Article BACKGROUNDS/AIMS: To evaluate surgical outcomes of patients with gallbladder wall thickness (GBWT) > 5 mm. METHODS: Patients who underwent cholecystectomy were classified into two groups according to their GBWT status (GBWT+ vs. GBWT–). RESULTS: Among 1,211 patients who underwent cholecystectomy, GBWT+ was seen in 177 (14.6%). The GBWT+ group was significantly older with more males, higher ASA score, higher alkaline phosphatase level, higher international normalized ratio, and lower albumin level than the GBWT– group. On ultrasound, GBWT+ patients had larger stone size, more pericholecystic fluid, more common bile duct stone, and more biliary pancreatitis. Compared with the GBWT– group, the GBWT+ group had more urgent surgeries (12.4% vs. 3.2%, p = 0.001), higher conversion rate (4.5% vs. 0.3%, p = 0.001), prolonged operative time (67 ± 38 vs. 54 ± 29 min; p = 0.001), more bleeding (3.4% vs. 0.5%, p = 0.002), and more need of drain (21.5% vs. 10.5%, p = 0.001). By multivariate analysis, factors associated with increased length of hospital stay were GBWT+ (HR: 1.97, 95% CI: 1.19–3.25, p = 0.008), urgent surgery (HR: 10.2, 95% CI: 4.07–25.92, p = 0.001), prolonged surgery (HR: 1.01, 95% CI: 1.0–1.02, p = 0.001), and postoperative drain (HR: 11.3, 95% CI: 6.40–20.0, p = 0.001). CONCLUSIONS: Variables such as GBWT ≥ 5 mm, urgent prolonged operation, and postoperative drains are independent predictors of extended hospital stay. GBWT+ patients are twice likely to stay in hospital for more than 72 hours and more prone to develop complications than GBWT– patients. The Korean Association of Hepato-Biliary-Pancreatic Surgery 2023-02-28 2022-12-20 /pmc/articles/PMC9947375/ /pubmed/36536504 http://dx.doi.org/10.14701/ahbps.22-067 Text en Copyright © 2023 by The Korean Association of Hepato-Biliary-Pancreatic Surgery https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Alotaibi, Abdulrahman Muaod Gallbladder wall thickness adversely impacts the surgical outcome |
title | Gallbladder wall thickness adversely impacts the surgical outcome |
title_full | Gallbladder wall thickness adversely impacts the surgical outcome |
title_fullStr | Gallbladder wall thickness adversely impacts the surgical outcome |
title_full_unstemmed | Gallbladder wall thickness adversely impacts the surgical outcome |
title_short | Gallbladder wall thickness adversely impacts the surgical outcome |
title_sort | gallbladder wall thickness adversely impacts the surgical outcome |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9947375/ https://www.ncbi.nlm.nih.gov/pubmed/36536504 http://dx.doi.org/10.14701/ahbps.22-067 |
work_keys_str_mv | AT alotaibiabdulrahmanmuaod gallbladderwallthicknessadverselyimpactsthesurgicaloutcome |