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- W116396217 abstract "Background: Currently laparoscopic cholecystectomy (LC) is the standard treatment for gallbladder diseases instead of open surgery. The operative difficulty and complication are still variable. Objective: To determine the predicting factors of LC difficulty. Material and Method : Medical records of 139 patients who underwent LC by single surgeon in Lampang Hospital between September 2002 -June 2009 was retrospectively reviewed. Inclusion criteria included symptomatic gallstone, acute cholecystitis within 72 hours after onset, resolved cholecystitis beyond 4 weeks and gallstone pancreatitis. It was categorized into 4 groups of operative time: easy ( 120 minutes) and conversion to open surgery group. Demographic data, number of abdominal ports, length of stay (LOS) and complications were recorded. The data were analyzed by Pearson’s chi-square test and Kruskal–Wallis test. Results : Most of the patients were female (74.1%). The mean age was 53 years (range, 22-80); 21.6% was in easy group, 53.9% intermediate, 20.2% difficult and 4.3% in conversion group. Age, sex, body weight, ASA class, co-morbidity and previous abdominal surgery did not affect the operative time. Preoperative diagnosis was the only factor correlating with LC difficulty. Acute cholecystitis increased the operative time (p and less complication (p=0.002 and Conclusion: Preoperative diagnosis was the only factor to predict difficult y in l aparoscopic cholecystectomy. Acute cholecystitis increased more difficulty and complication t han postponed surgery until the inflammation resolved." @default.
- W116396217 created "2016-06-24" @default.
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- W116396217 date "2010-02-01" @default.
- W116396217 modified "2023-09-23" @default.
- W116396217 title "Factor to Predict Difficulty in Laparoscopic Cholecystectomy" @default.
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