Surgical treatment for xanthogranulomatous cholecystitis: a report of 74 cases.
OBJECTIVE
To be more aware of the presence of xanthogranulomatous cholecystitis (XGC) and find a better surgical measure of its treatment.


METHODS
Data from 74 cases of XGC treated between May 1996 and May 2008 at our hospital were retrospectively analyzed and reported here. Laparoscopic and laparotomy group were compared with respect to operative time, postoperative hospital stay, postoperative complication, etc.


RESULTS
In the 74 cases, 47 underwent laparoscopic surgery, the rest 27 underwent laparotomy surgery. The mean operative time of laparotomy and laparoscopic cases were 113.9 minutes and 69.4 minutes, respectively, which shows statistically significant difference between the 2 groups (P<0.01). The postoperative hospital stay of the laparotomy and laparoscopic group is 18.3 days and 8.66 days, respectively (P<0.01). The converting rate of the laparoscopic group is 10.6%.


CONCLUSIONS
Surgical treatment remains the most effective and feasible option for XGC.
Wang
Mingliang
M
Department of Surgery, Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai Minimally Invasive Surgery Centre, Shanghai, PR China.
Zhang
Tao
T
Zang
Lu
L
Lu
Aiguo
A
Mao
Zhihai
Z
Li
Jianwen
J
Dong
Feng
F
Hu
Weiguo
W
Jiang
Yu
Y
Zheng
Minhua
M
D000328:Adult; D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D017081:Cholecystectomy, Laparoscopic / Q000379:methods*; D002764:Cholecystitis / Q000175:diagnosis / Q000601:surgery*; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006099:Granuloma / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014973:Xanthomatosis / Q000175:diagnosis / Q000601:surgery*; D055815:Young Adult