دورية أكاديمية

Examination of preoperative ultrasound findings in predicting the operative time of laparoscopic cholecystectomy

التفاصيل البيبلوغرافية
العنوان: Examination of preoperative ultrasound findings in predicting the operative time of laparoscopic cholecystectomy
المؤلفون: Ahmad Kachoie, Mostafa Vahedian, Farrokh Savaddar, Mohsen Eshraghi, Enayatollah Noori, Sajad Rezvan, Zahra Moeini
المصدر: Tehran University Medical Journal, Vol 78, Iss 6, Pp 351-356 (2020)
بيانات النشر: Tehran University of Medical Sciences, 2020.
سنة النشر: 2020
المجموعة: LCC:Medicine (General)
مصطلحات موضوعية: laparoscopic cholecystectomy, operative time, ultrasound., Medicine (General), R5-920
الوصف: Background: Identifying risk factors for conversion to open surgery laparoscopic cholecystectomy and factors are difficult to predict cholecystectomy surgery is required. The aim of this study was to evaluate the findings of preoperative ultrasound in predicting the length of laparoscopic cholecystectomy surgery. Methods: The present study was performed cross-sectional on 122 patients who underwent laparoscopic cholecystectomy in Shahid Beheshti, Forghani and Nekoei’s Hospital in Qom from September 2016 to September 2017. Inclusion criteria: All cases of acute cholecystitis, chronic cholecystitis, symptomatic gallstones and biliary pancreatitis underwent laparoscopic cholecystectomy. The exclusion criteria included patients undergoing laparoscopic cholecystectomy at the same time were other procedures. Before surgery patientschr('39') information such as age, sex, ultrasound findings including gallbladder wall thickness, compressed stone and the presence of fluid around the gallbladder were recorded in the checklist. Finally, the duration of cholecystectomy was divided into two degrees of easy operation (less than 60 minutes and without complications) and difficult operation (above 60 minutes with complications) according to the mentioned variables. Data were analyzed by SPSS software, version 22 (IBM SPSS, Armonk, NY, USA). In this study, a significance level of less than 0.05 was considered. Results: 28 (22.4 percent) males and 97 (77.6 percent) females with a mean age of 44.66 13 13.85 years were studied. There were 35 difficult cases (28 percent) and 90 easy cases (72 percent). Conversion to open surgery occurred in three cases. Among the sonographic findings, there was a significant relationship between the increase in gallbladder wall thickness and Impacted stone with the duration of operation (P≤0.05). But no significant relationship was found between the findings of Presence of pericholecystic fluid and the duration of operation (P>0.05). Conclusion: Overall, the findings of this study showed that preoperative ultrasound is able to provide valuable data in predicting the duration of laparoscopic cholecystectomy.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: Persian
تدمد: 1683-1764
1735-7322
Relation: http://tumj.tums.ac.ir/article-1-10651-en.html; https://doaj.org/toc/1683-1764; https://doaj.org/toc/1735-7322
URL الوصول: https://doaj.org/article/4066540d79224bf1a95773e6f30d19a7
رقم الأكسشن: edsdoj.4066540d79224bf1a95773e6f30d19a7
قاعدة البيانات: Directory of Open Access Journals