ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Risk Factors for Difficult Laparoscopic Cholecystectomy in Acute Cholecystitis.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 43 citations in OpenAlex.
- Predicting the surgical difficulty of laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage in patients with acute cholecystitis: a multi-center study.Updates in surgery · 2026Article
- Predicting the timing of LC after PTGBD in elderly patients with acute cholecystitis: a machine learning approach with a web-based calculator.Langenbeck's archives of surgery · 2025Article
- Robotic versus laparoscopic cholecystectomy for difficult gallbladders: an observational study of tertiary centre cases.Surgical endoscopy · 2025Observational
- Preoperative predictors of difficult early laparoscopic cholecystectomy among patients with acute calculous cholecystitis in Egypt.BMC surgery · 2024Article
- Predictive Factors for Difficult Laparoscopic Cholecystectomies in Acute Cholecystitis.Diagnostics (Basel, Switzerland) · 2024Article
- Learning curve of laparoscopic cholecystectomy: a risk-adjusted cumulative summation (RA-CUSUM) analysis of six general surgery residents.Surgical endoscopy · 2023Article
- Management of Intra-Abdominal Infections: The Role of Procalcitonin.Antibiotics (Basel, Switzerland) · 2023Review
- Sequential histologic evolution of gallbladder inflammation in acute cholecystitis over the first 10 days after onset of symptoms.Journal of hepato-biliary-pancreatic sciences · 2023Article
- Patch-based classification of gallbladder wall vascularity from laparoscopic images using deep learning.International journal of computer assisted radiology and surgery · 2021Article
- C-reactive Protein Is the Best Biomarker to Predict Advanced Acute Cholecystitis and Conversion to Open Surgery. A Prospective Cohort Study of 556 Cases.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Article
- Role of procalcitonin as a predictor in difficult laparoscopic cholecystectomy for acute cholecystitis case: A retrospective study based on the TG18 criteria.Scientific reports · 2019Observational
- Risk factors for difficulty of laparoscopic cholecystectomy in grade II acute cholecystitis according to the Tokyo guidelines 2013.BMC surgery · 2017Article
- Optimal timing of cholecystectomy after percutaneous gallbladder drainage for severe cholecystitis.BMC gastroenterology · 2017Article
- Risk Factors of Postoperative Complications in Laparoscopic Cholecystectomy for Acute Cholecystitis.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
- Risk factors for patient selection in ambulatory laparoscopic cholecystectomy: A Single-centre experience.Journal of minimal access surgeryArticle
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Authors and funding
7 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesFactors that contribute to difficult laparoscopic cholecystectomy (LC) in acute cholecystitis (AC) that would affect the performance of early surgery remain unclear. The purpose of this study was to identify such risk factors.
methodsOne hundred fifty-four patients who underwent LC for AC were retrospectively analyzed. The patients were categorized into early surgery and delayed surgery. Factors predicting difficult LC were analyzed for each group. The operation time, bleeding, and cases of difficult laparoscopic surgery (CDLS)/conversion rate were analyzed as an index of difficulty. Analyses of patients in the early group were especially focused on 3 consecutive histopathological phases: edematous cholecystitis (E), necrotizing cholecystitis (N), suppurative/subacute cholecystitis (S).
resultsIn the early group, the CDLS/conversion rate was highest in necrotizing cholecystitis. Its rate was significantly higher than that of the other 2 histopathological types (N 27.9% vs E and S 7.4%;
conclusionIn early surgery, histopathologic necrotizing cholecystitis is a risk factor for difficult LC in AC. A higher WBC count and older age are risk factors for delayed surgery.
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