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A retrospective analysis of the treatment results of 1557 patients with acute cholecystitis.
Author(s):
1. Cuneyt Kirkil: Firat University, Medical Faculty, Department of General Surgery, Elazig, Turkey
2. Nurullah Bulbuller: Ataturk Teaching and Education Hospital, Department of General Surgery, Turkey
3. Yavuz Selim Ilhan: Firat University, Medical Faculty, Department of General Surgery, Elazig, Turkey
4. Erhan Aygen: Firat University, Medical Faculty, Department of General Surgery, Elazig, Turkey
5. Baris Gulturk: Harut State Hospital, Department of General Surgery, Elazig, Turkey
6. Serdar Coskun: Gazi State Hospital, Department of General Surgery, Samsun, Turkey
Abstract:
Objective: To analyse outcomes of variable management strategies for the treatment of Acute Cholecystitis in relation to morbidity, mortality and conversion to open surgery. Methods: The retrospective study was conducted at Firat University Hospital, Turkey and comprised records of Acute Cholecystitis patients admitted between 2005 and 2011. patients were divided into subgroups according to admission time as well as American Society of Anaesthesiologists score. The outcomes of early cholecystectomy, interval cholecystectomy, delayed cholecystectomy, `cooling-off` therapy and percutaneous cholecystostomy were evaluated. Mortality, morbidity, and conversion to open surgery were calculated as measures of success. Data was analysed using SSS. Results: Of the 1557 patients, 1052(67.6%) were female. The overall mean age was 42.4±14.7 years. Success rates of `cooling-off` therapy and percutaneous cholecystostomy were 89.3% and 96.3%, resectively. The conversion rate following delayed cholecystectomy was 30%, which was higher than that of both early and interval cholecystectomy (0.2% and 0%, respectively;
Page(s): 277-282
DOI: DOI not available
Published: Journal: Journal of Pakistan Medical Association, Volume: 64, Issue: 3, Year: 2014
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