Table of Contents Author Guidelines Submit a Manuscript
Gastroenterology Research and Practice
Volume 2015, Article ID 734927, 4 pages
http://dx.doi.org/10.1155/2015/734927
Clinical Study

Early Laparoscopic Cholecystectomy with Continuous Pressurized Irrigation and Dissection in Acute Cholecystitis

1Department of General Surgery, Faculty of Medicine, İzmir University, 1825 Sokak Yeni Girne Mh., Karșiyaka, 35520 İzmir, Turkey
2Department of Radiology, Faculty of Medicine, İzmir University, 1825 Sokak Yeni Girne Mh., Karșiyaka, 35520 İzmir, Turkey
3Department of Anesthesiology and Reanimation, Faculty of Medicine, İzmir University, 1825 Sokak Yeni Girne Mh., Karșiyaka, 35520 İzmir, Turkey

Received 16 September 2014; Revised 11 February 2015; Accepted 11 February 2015

Academic Editor: Peter V. Draganov

Copyright © 2015 I. Ozsan et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 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.