Early laparoscopic cholecystectomy in severely comorbid patients with acute cholecystitis: results of a monocentric study.

IF 2.4 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Future Science OA Pub Date : 2024-05-14 eCollection Date: 2024-01-01 DOI:10.2144/fsoa-2023-0185
Mohamed S Jarrar, Malek Barka, Mehdi Chahed, Radhouane Toumi, Ameni Beizig, Mohamed H Mraidha, Fehmi Hamila, Sabri Youssef
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引用次数: 0

Abstract

Aim: The aim is to evaluate laparoscopic cholecystectomy safety based on American Society of Anesthesiologists score for acute cholecystitis in patients with comorbidities. Patients & methods: This is retrospective study of patients who underwent laparoscopic cholecystectomy for acute cholecystitis between 2003 and 2021. According to their respective ASA-score, patients were divided into group 1: ASA1-2 and group 2: ASA3-4. Results: We collected 578 patients. Even though the gangrenous forms were more frequent and the operative time was longer in group 2, laparoscopic cholecystectomy seems safe and effective. We didn't observe any differences in terms of intraoperative incidents, open conversion rate, or postoperative complications compared with other patients. Conclusion: ASA3-4 patients with acute cholecystitis don't face elevated risks of complications or mortality during laparoscopic cholecystectomy.

急性胆囊炎严重合并症患者的早期腹腔镜胆囊切除术:单中心研究结果。
目的:根据美国麻醉医师协会对合并症患者急性胆囊炎的评分,评估腹腔镜胆囊切除术的安全性。患者和方法:这是一项回顾性研究,研究对象为2003年至2021年间因急性胆囊炎接受腹腔镜胆囊切除术的患者。根据各自的 ASA 评分,患者被分为第一组:ASA1-2;第二组:ASA3-4:ASA3-4。结果:我们共收集了 578 例患者。尽管腹腔镜胆囊切除术在第 2 组中更常出现坏疽,手术时间也更长,但腹腔镜胆囊切除术似乎是安全有效的。与其他患者相比,我们没有观察到术中事故、开腹手术转换率或术后并发症方面的任何差异。结论ASA3-4级急性胆囊炎患者在腹腔镜胆囊切除术中不会面临更高的并发症或死亡率风险。
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来源期刊
Future Science OA
Future Science OA MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
5.00
自引率
4.00%
发文量
48
审稿时长
13 weeks
期刊介绍: Future Science OA is an online, open access, peer-reviewed title from the Future Science Group. The journal covers research and discussion related to advances in biotechnology, medicine and health. The journal embraces the importance of publishing all good-quality research with the potential to further the progress of research in these fields. All original research articles will be considered that are within the journal''s scope, and have been conducted with scientific rigour and research integrity. The journal also features review articles, editorials and perspectives, providing readers with a leading source of commentary and analysis. Submissions of the following article types will be considered: -Research articles -Preliminary communications -Short communications -Methodologies -Trial design articles -Trial results (including early-phase and negative studies) -Reviews -Perspectives -Commentaries
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