The Enormous Size of the Gallblader aA Reason for Conversion to Open Surgery in Acute Cholecystitis

Rexhep Selmani

The Enormous Size of the Gallblader aA Reason for Conversion to Open Surgery in Acute Cholecystitis

Rexhep Selmani * §

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§ University Clinic of Digestive Surgery

The Enormous Size of the Gallblader aA Reason for Conversion to Open Surgery in Acute Cholecystitis

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Abstract

Laparascopic cholecystectomy is considered the treatment of choice for cholelithiasis. Laparosopic cholecystectomy can be safely performed in patients with acute cholecystitis, but there is a difference between conversion rates in patients operated within 72 hours from the onset of the symptoms and those after. The main reason for conversion on early laparoscopic cholecystectomy is the inflammation that interferes and makes the anatomy of the Calot’s triangle less visible, while other factors for the conversion of laparoscopic cholecystectomy in acute cholecystitis are the timing of the operation, age, BMI, CRP, white blood cell count (WBC), fever, tenderness in the right upper abdomen and ultrasonographic finding of extremely thickened gallbladder wall, close relation of the Hartmann’s pouch with hepaticoduodenal ligament, the gallbladder size and the number and size of stones. Case presentation: Here we present a case of 74 year old female patient, who presented at our institution with 6 day history of abdominal pain, nausea and fever, with physical, laboratory and ultrasound signs of acute cholecystitis.

References

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Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

How to Cite This Article

Rexhep Selmani, avicena17. 2013. "The Enormous Size of the Gallblader aA Reason for Conversion to Open Surgery in Acute Cholecystitis". Global Journal of Medical Research - I: Surgeries & Cardiovascular System GJMR-I Volume 13 (GJMR Volume 13 Issue I2).

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GJMR Volume 13 Issue I2

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Journal Specifications

Crossref Journal DOI 10.17406/gjmr

Print ISSN 0975-5888

e-ISSN 2249-4618

Keywords

acute cholecystitis conversions laparoscopic cholecystectomy size of the gallbladder

Classification

GJMR-I Classification NLMC Code: WI 750

WI 755

Submission ReceivedApril 12, 2013
Peer Review Double Blind
Handling Editor
Accepted May 1, 2013
Published May 15, 2013

Version of record

v1.2

Issue date

July 1, 2013

Language

English

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Article Matrices

Total Score: 142

Country: Macedonia

Subject: Global Journal of Medical Research

Authors: Rexhep Selmani, Arben Karpuzi (PhD/Dr. count: 0)

View Count (all-time): 252

Total Views (Real + Logic): 2066

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Publish Date: 2013 05, Wed

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Total Views: 2.1K

Total Downloads: 84

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