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. 2018 Aug 28;34(3):217-220.
doi: 10.5152/turkjsurg.2017.3930.

Effects of prior abdominal surgery on laparoscopic cholecystectomy

Deniz Atasoy  1 , Afag Aghayeva  1 , İpek Sapcı  2 , Onur Bayraktar  1 , Turgut Bora Cengiz  2 , Bilgi Baca  1
Affiliations

Effects of prior abdominal surgery on laparoscopic cholecystectomy

Deniz Atasoy et al. Turk J Surg. .

Abstract

Objectives: With increased experience and technological advancement, laparoscopic cholecystectomy is reported to be safe and feasible even in the presence of most of the previously recognized contraindications. The purpose of this study was to explore the effects of prior upper and lower abdominal surgery on laparoscopic cholecystectomy.

Material and methods: A retrospective evaluation of all sequential patients who underwent laparoscopic cholecystectomy from January 2014 to June 2016 was conducted. Patients were divided into three groups (Group A: patients without any prior abdominal surgical procedures; Group B: patients with prior upper abdominal surgical procedures; and Group C: patients with prior lower abdominal surgical procedures).

Results: A total of 329 patients were assessed. Group A consisted of 223, Group B of 18, and Group C of 88 patients. A statistically significantly higher operative time, postoperative pain, and complication rate after laparoscopic cholecystectomy were noted in patients with prior upper abdominal surgery. The groups were comparable regarding patients' demographics and surgery indications. The length of hospital stay was not statistically different between the groups (p=0.065).

Conclusion: According to the results of the current study, prior upper abdominal surgery leads to a significantly longer procedure time, higher postoperative pain, and complication rates after laparoscopic cholecystectomy. However, the length of hospital stay was not affected by the parameters investigated.

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Conflict of interest statement

Conflict of Interest: The authors have no conflicts of interest to declare.

References

    1. Coccolini F, Catena F, Pisano M, Gheza F, Fagiuoli S, Di Saverio S, et al. Open versus laparoscopic cholecystectomy in acute cholecystitis. Systematic review and meta-analysis. Int J Surg. 2015;18:196–204. doi: 10.1016/j.ijsu.2015.04.083. - DOI - PubMed
    1. Bingener-Casey J, Richards ML, Strodel WE, Schwesinger WH, Sirinek KR. Reasons for conversion from laparoscopic to open cholecystectomy: a 10-year review. J Gastrointest Surg. 2002;6:800–805. doi: 10.1016/S1091-255X(02)00064-1. - DOI - PubMed
    1. Saia M, Mantoan D, Buja A, Bertoncello C, Baldovin T, Callegaro G, et al. Time trend and variability of open versus laparoscopic cholecystectomy in patients with symptomatic gallstone disease. Surg Endosc. 2013;27:3254–3261. doi: 10.1007/s00464-013-2902-y. - DOI - PubMed
    1. Keus F, de Jong JA, Gooszen HG, van Laarhoven CJ. Laparoscopic versus open cholecystectomy for patients with symptomatic cholecystolithiasis. Cochrane Database Syst Rev. 2006;4:CD006231. doi: 10.1002/14651858.CD006231. - DOI - PubMed
    1. Kuwabara K, Matsuda S, Ishikawa KB, Horiguchi H, Fujimori K. Comparative quality of laparoscopic and open cholecystectomy in the elderly using propensity score matching analysis. Gastroenterol Res Pract. 2010;2010 doi: 10.1155/2010/490147. 490147. - DOI - PMC - PubMed

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