title: Surgical treatment for xanthogranulomatous cholecystitis: a report of 74 cases.
abstract: 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.
authors: Department of Surgery, Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai Minimally Invasive Surgery Centre, Shanghai, PR China.
authors: Mingliang
authors: M
authors: Wang
authors: Tao
authors: T
authors: Zhang
authors: Lu
authors: L
authors: Zang
authors: Aiguo
authors: A
authors: Lu
authors: Zhihai
authors: Z
authors: Mao
authors: Jianwen
authors: J
authors: Li
authors: Feng
authors: F
authors: Dong
authors: Weiguo
authors: W
authors: Hu
authors: Yu
authors: Y
authors: Jiang
authors: Minhua
authors: M
authors: Zheng
mesh_terms: 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