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Study is designed to investigate whether the history of ERCP is associated with subtotal cholecystectomy rates in patients underwent laparoscopic cholecystectomy operations with the diagnosis of acute cholecystitis.
The results of patients who underwent surgery for acute cholecystitis in a single center between January 2016 and December 2019 were included and evaluated retrospectively.
Primary outcome was subtotal cholecystectomy rate. Secondary outcomes were conversion to open, complications and serious complications. Within examining demographic findings, operative records (rates for subtotal cholecystectomy and conversion to open, operative duration) and follow-up results (postoperative complications, serious complications, length of hospital stay and mortality) for all cases were investigated. Complications that Clavien-Dindo Score ≥ 3 accepted as serious complication. Intraoperative detection of gallbladder perforation was also noted and included in comparison. Any biliary tract complication that needed any percutaneous or endoscopic intervention to handle was named as "biliary leak" in the study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard (non-ERCP) Group | Patients who underwent surgery for acute cholecystitis without a previous ERCP history. | ||
| ERCP group | Patients who underwent surgery for acute cholecystitis with a previous ERCP history. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ERCP | Procedure | Patients separated to two groups according to having a ERCP history before the operation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Subtotal Cholecystectomy Rate | Rate of patients needed subtotal cholecystectomy after initial intent of starting laparoscopic to the cholecystectomy | Intraoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Conversion to open | Rate of patients needed conversion to open after initial intent of starting laparoscopic to the cholecystectomy | Intraoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Complications | Any complications experienced by patients who underwent emergency operation with the diagnosis of acute cholecystitis | Postoperative first 90 days |
| Serious complications | Any complications that has a Clavien-Dindo Score ≥ 3 experienced by patients who underwent emergency operation with the diagnosis of acute cholecystitis. (Clavien Dindo Score System that classifying post-operative complications in 5 main levels. Higher the score, the more significant complications. While level 1 is the lightest, level 5 means death) |
Inclusion Criteria:
Exclusion Criteria:
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- Patients operated with the diagnosis of acute cholecystitis a single center between January 2016 and December 2019.
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| Name | Affiliation | Role |
|---|---|---|
| Mehmet Karabulut | University of Health Sciences, Bakirkoy Dr.Sadi Konuk Training and Research Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bakırkoy Dr.Sadi Konuk Training and Research Hospital | Istanbul | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D041881 | Cholecystitis, Acute |
| ID | Term |
|---|---|
| D002764 | Cholecystitis |
| D005705 | Gallbladder Diseases |
| D001660 | Biliary Tract Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| D002760 | Cholangiopancreatography, Endoscopic Retrograde |
| ID | Term |
|---|---|
| D002758 | Cholangiography |
| D011860 | Radiography, Abdominal |
| D011859 | Radiography |
| D003952 | Diagnostic Imaging |
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| Postoperative first 90 days |
| Duration of operation | Duration of emergency with the diagnosis of acute cholecystitis | Intraoperative |
| Length of hospital stay | Number of days patient stayed with and after the emergency operation with the diagnosis of acute cholecystitis | Postoperative first 90 days |
| Mortality | Number of patients that died after the emergency operation with the diagnosis of acute cholecystitis | Postoperative first 90 days |
| D019937 |
| Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D003938 | Diagnostic Techniques, Digestive System |
| D016145 | Endoscopy, Digestive System |
| D004724 | Endoscopy |
| D003949 | Diagnostic Techniques, Surgical |
| D013505 | Digestive System Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
| D019060 | Minimally Invasive Surgical Procedures |