دورية أكاديمية
Can sonographic signs predict conversion of laparoscopic to open cholecystectomy?
| العنوان: | Can sonographic signs predict conversion of laparoscopic to open cholecystectomy? |
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| المؤلفون: | van der Velden JJ; Department of Radiology, University Hospital of Rotterdam, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands., Berger MY, Bonjer HJ, Brakel K, Laméris JS |
| المصدر: | Surgical endoscopy [Surg Endosc] 1998 Oct; Vol. 12 (10), pp. 1232-5. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: Germany NLM ID: 8806653 Publication Model: Print Cited Medium: Print ISSN: 0930-2794 (Print) Linking ISSN: 09302794 NLM ISO Abbreviation: Surg Endosc Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 1992- : New York : Springer Original Publication: [Berlin] : Springer International, c1987- |
| مواضيع طبية MeSH: | Digestive System Surgical Procedures*, Cholelithiasis/*diagnostic imaging , Cholelithiasis/*surgery , Intraoperative Complications/*diagnostic imaging, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Analysis of Variance ; Cholecystectomy, Laparoscopic/adverse effects ; Cholecystectomy, Laparoscopic/methods ; Confidence Intervals ; Female ; Humans ; Male ; Middle Aged ; Multivariate Analysis ; Predictive Value of Tests ; Preoperative Care ; Retrospective Studies ; Risk Factors ; Sensitivity and Specificity ; Ultrasonography |
| مستخلص: | Background: The aim of this study was to determine whether sonographic signs can predict the risk for conversion of laparoscopic (LC) to open cholecystectomy (OC). Methods: All 346 patients who underwent LC at our institution between January 1, 1993, and March 1, 1996, were studied retrospectively. Patients who had no sonographic examination during 6 months prior to surgery and patients treated by inexperienced surgeons were excluded from the study. Patient characteristics and sonographic parameters were evaluated by univariate and multivariate analysis, using conversion to OC as a dependent variable. Results: In 23 of 134 patients (17.2%), LC was converted to OC. In the univariate analysis, gallbladder distention (>4.5 cm; relative risk [RR] 3.5; 95% confidence intervals [CI] 1.7-5.3), stone impaction (RR 2.4; 95% CI 1.1-5.1), thickened gallbladder wall (RR 2.4; 95% CI 1.2-5.1), and acute cholecystitis (RR 2.6; 95% CI 1.1-6.7) were able to predict the need for conversion. Logistic regression defined only the sonographic sign of distention of the gallbladder as a predictor of conversion. Conclusions: Gallbladder distention as a sonographic sign is associated with a high relative risk for conversion. The predictive value of sonographic signs for conversion requires further assessment in a prospective study. |
| تواريخ الأحداث: | Date Created: 19980924 Date Completed: 19981124 Latest Revision: 20220309 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1007/s004649900826 |
| PMID: | 9745062 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 0930-2794 |
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| DOI: | 10.1007/s004649900826 |