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- W4312306369 abstract "Introduction: Gallbladder cancer presents incidentally over 50% of the time. Operative risk factors and outcomes for laparoscopic (LC) and laparoscopic converted to open cholecystectomy (COC) in incidental gallbladder cancer (iGBC) are not well characterized. Method: Patients with iGBC and acute cholecystitis (AC) undergoing LC and COC in the ACS NSQIP database from 2013-2017 were reviewed. Primary end point was 30 day mortality. Chi-square tests or Fisher’s exact tests were used for categorical variables. Continuous variables were compared Mann Whitney U tests. Results: A total of 5,789 patients undergoing laparoscopic cholecystectomy were identified, 50 (0.9%) had iGBC. There were more ASA Class 1 patients (50% vs 0%, p<0.01) and Wound Class 4 cases (25% vs 2.2%, p=0.03) in COC compared to LC group. iGBC COC patients had lower sodium levels than the LC group (p<0.01). Hospital length of stay (days) was longer for those with COC compared to LC, 14 (10.8, 18.8) vs 2 (0.3, 5) (p=0.01). COC also had higher rates of sepsis (50% vs 0%, p<0.01) and reoperation than LC (33.3% vs 1.9%, p=0.02). Readmission and mortality rates, among other complications, were not significantly different between COC and LC. Conclusions: Interestingly, there were healthier iGBC patients in the COC compared to LC groups. COC patients had worse outcomes including longer hospital stay, more sepsis, and a higher rate of reoperation. It remains difficult to predict those iGBC patients undergoing COC. Further study examining the relationship between cancer staging and COC in iGBC is warranted." @default.
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- W4312306369 date "2022-01-01" @default.
- W4312306369 modified "2023-10-16" @default.
- W4312306369 title "Preoperative Risk Factors and Outcomes for Laparoscopic and Converted to Open Cholecystectomies in Incidental Gallbladder Cancer: An ACS NSQIP Database Review" @default.
- W4312306369 doi "https://doi.org/10.1016/j.hpb.2022.05.1052" @default.
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