title: Early laparoscopic cholecystectomy with continuous pressurized irrigation and dissection in acute cholecystitis.
abstract: Background. The aim of this study was to evaluate the preliminary results of a new dissection technique in acute cholecystitis. Material and Method. One hundred and forty-nine consecutive patients with acute cholecystitis were operated on with continuous pressurized irrigation and dissection technique. The diagnosis of acute cholecystitis was based on clinical, laboratory, and radiological evidences. Age, gender, time from symptom onset to hospital admission, operative risk according to the American Society of Anesthesiologists (ASA) score, white blood cell count, C-reactive protein test levels, positive findings of radiologic evaluation of the patients, operation time, perioperative complications, mortality, and conversion to open surgery were prospectively recorded. Results. Of the 149 patients, 87 (58,4%) were female and 62 (41,6%) were male. The mean age was 46.3 ± 6.7 years. The median time from symptom onset to hospital admission 3.2 days (range, 1-6). There were no major complications such as bile leak, common bile duct injury or bleeding. Subhepatic liquid collection occurred in 3 of the patients which was managed by percutaneous drainage. Conversion to open surgery was required in four (2,69%) patients. There was no mortality in the study group. Conclusion. Laparoscopic cholecystectomy with continuous pressurized irrigation and dissection technique in acute cholecystitis seems to be an effective and reliable procedure with low complication and conversion rates.
authors: Department of General Surgery, Faculty of Medicine, İzmir University, 1825 Sokak Yeni Girne Mh., Karșiyaka, 35520 İzmir, Turkey.
authors: I
authors: I
authors: Ozsan
authors: Department of General Surgery, Faculty of Medicine, İzmir University, 1825 Sokak Yeni Girne Mh., Karșiyaka, 35520 İzmir, Turkey.
authors: O
authors: O
authors: Yoldas
authors: Department of General Surgery, Faculty of Medicine, İzmir University, 1825 Sokak Yeni Girne Mh., Karșiyaka, 35520 İzmir, Turkey.
authors: T
authors: T
authors: Karabuga
authors: Department of Radiology, Faculty of Medicine, İzmir University, 1825 Sokak Yeni Girne Mh., Karșiyaka, 35520 İzmir, Turkey.
authors: U M
authors: UM
authors: Yıldırım
authors: Department of Anesthesiology and Reanimation, Faculty of Medicine, İzmir University, 1825 Sokak Yeni Girne Mh., Karșiyaka, 35520 İzmir, Turkey.
authors: H Y
authors: HY
authors: Cetin
authors: Department of General Surgery, Faculty of Medicine, İzmir University, 1825 Sokak Yeni Girne Mh., Karșiyaka, 35520 İzmir, Turkey.
authors: O
authors: O
authors: Alpdoğan
authors: Department of General Surgery, Faculty of Medicine, İzmir University, 1825 Sokak Yeni Girne Mh., Karșiyaka, 35520 İzmir, Turkey.
authors: U
authors: U
authors: Aydin