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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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Autor principal: Alotaibi, Abdulrahman Muaod
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Association of Hepato-Biliary-Pancreatic Surgery 2023
Materias:
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.
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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
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