JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 1 (January 2019)
Japanese

Preoperative evaluation of difficulty on laparoscopic cholecystectomy for acute cholecystitis Ryohei ANDO 1,2 , Takashi YAZAWA 1 , Atsushi OYAMA 1 , Takaho OKADA 1 , Tetsuya KAKITA 1 , Takashi TSUCHIYA 1 1Department of Digestive Surgery, Sendai City Medical Center Sendai Open Hospital 2Department of Digestive Surgery, School of Medicine, Tohoku University Keyword: 胆囊炎 , 腹腔鏡下胆囊摘出術 , 難易度 pp.17-22
Published Date 2019/1/15
DOI https://doi.org/10.11477/mf.4426200660
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 [Introduction] In our department, 3-6 year residents perform laparoscopic cholecystectomy for acute cholecystitis. But difficult cases need changes of operator (senior residents to specialists). [Purpose] To clarify the difficulty of laparoscopic cholecystectomy for acute cholecystitis. [Methods] We analyzed 149 cases of acute cholecystitis in our department. We compared cases that needed changes of operator with that didn't need changes, and evaluated factors concerned with difficulty. [Result] Fifty-five cases needed changes of operator. These cases had superiorities in age (61.1 : 71.9 years old, p<0.01), CRP values (5.8 : 12.5mg/dl, p<0.01), minor axis of gallbladder (36.3 : 39.7mm, p<0.01), and the numbers of shock (0/94 : 6/55, p<0.01) in univariate analysis. Age, CRP values, and the numbers of shock are independent risk factors for changes of operator in multivariable analysis (p<0.01). [Conclusion] We could possibly evaluate difficulty on laparoscopic cholecystectomy for acute cholecystitis.


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基本情報

13446703.24.1.jpg
日本内視鏡外科学会雑誌
24巻1号 (2019年1月)
電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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