ArticleSurgical endoscopy2012
The degree of gallbladder wall thickness and its impact on outcomes after laparoscopic cholecystectomy.
Article in Surgical endoscopy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.
- Preoperative Risk Factors for Conversion from Laparoscopic to Open Cholecystectomy: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022Pooled it
- Association of intra-operative adverse events with gall bladder wall thickness in patients undergoing laparoscopic cholecystectomy for acute calculous cholecystitis: A prospective study from a low middle income country.Pakistan journal of medical sciences · 2026Article
- Review
- Outcomes of Fenestrating vs. Reconstituting Laparoscopic Subtotal Cholecystectomy: A Single-Center Retrospective Study.Healthcare (Basel, Switzerland) · 2025Article
- Audit of Postoperative Complications and Conversion Rate in Laparoscopic Cholecystectomy.Cureus · 2025Article
- Article
- Bailout for the Difficult Gallbladder: Subtotal vs. Open Cholecystectomy-A Retrospective Tertiary Care Center Experience.Medicina (Kaunas, Lithuania) · 2024Article
- The role of preoperative ultrasound in predicting conversion from laparoscopic cholecystectomy to open surgery in acute cholecystitis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Article
- External application of mirabilite before surgery can reduce the inflammatory response and accelerate recovery in mild acute biliary pancreatitis.BMC gastroenterology · 2023Article
- Article
- Gallbladder wall thickness adversely impacts the surgical outcome.Annals of hepato-biliary-pancreatic surgery · 2023Article
- Article
- Less is more in the difficult gallbladder: recent evolution of subtotal cholecystectomy in a single HPB unit.Surgical endoscopy · 2021Article
- Endoscopic Transpapillary Gallbladder Drainage for Acute Cholecystitis.Digestive diseases and sciences · 2021Review
- Article
- Article
- [Robot-assisted surgery - Progress or expensive toy? : Matched-pair comparative analysis of robot-assisted cholecystectomy vs. laparoscopic cholecystectomy].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2017Article
- Histopathological gallbladder morphometric measurements in geriatric patients with symptomatic chronic cholecystitis.Irish journal of medical science · 2016Article
- Does ultrasonography accurately diagnose acute cholecystitis? Improving diagnostic accuracy based on a review at a regional hospital.Canadian journal of surgery. Journal canadien de chirurgie · 2014Article
- The effect of insurance status on outcomes after laparoscopic cholecystectomy.Surgical endoscopy · 2013Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic cholecystectomy is the gold-standard procedure for management of symptomatic gallstone disease. Increased rates of conversion to an open procedure, increased postoperative complications, and longer lengths of stay are seen in thick-walled gallbladders. Previous studies have only evaluated gallbladder walls as being thick or not thick, without looking at the degree of thickness. We hypothesized that, the more severe the wall thickening, the greater the chance of conversions and complications, and the longer the lengths of stay.
methodsAll attempted laparoscopic cholecystectomies in our institution between 2006 and 2009 were retrospectively reviewed. Patients undergoing cholecystectomy for reasons other than gallstones (e.g., polyps or cancer) and those without preoperative ultrasounds were excluded. Patients were divided into four groups based on the degree of gallbladder wall thickness: normal (1-2 mm), mildly thickened (3-4 mm), moderately thickened (5-6 mm), and severely thickened (7 mm and above). Outcomes were compared amongst the groups.
results874 patients were included in the study. There were 68 conversions (7.8 %) and 58 complications (6.6 %). The incidence of conversions was 3.1, 5.1, 14.9, and 16.8 % in the four groups, respectively (p < 0.001, χ (2)), and the incidence of complications was 1.8, 6.7, 9.1, and 13.1 %, respectively (p = 0.001, χ (2)). The mean (± standard deviation, SD) length of stay in days was 1.09 ± 1.42, 1.83 ± 3.24, 2.54 ± 3.40 and 3.54 ± 4.61, respectively [p < 0.001, analysis of variance (ANOVA)].
conclusionsA greater degree of gallbladder wall thickness is associated with an increased risk of conversion, increased postoperative complications, and longer lengths of stay. Classifying patients according to degree of gallbladder wall thickness gives more accurate assessment of the risk of surgery, as well as potential outcomes.
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Registered trials
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