Annals of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회지)

The Korean Association of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회)
권호 표지

The Meaning of Open Cholecystectomy for Acute Cholecystitis

급성 담낭염에서 개복 담낭절제술의 의미

  • Kwak, Hee-Yong (Department of Surgery, School of Medicine, The Catholic University of Korea) ;
  • Kim, Sung-Geun (Department of Surgery, School of Medicine, The Catholic University of Korea) ;
  • Park, Jong-Kyoung (Department of Surgery, School of Medicine, The Catholic University of Korea) ;
  • Lee, Seong (Department of Surgery, School of Medicine, The Catholic University of Korea)
  • 곽희용 (가톨릭대학교 의과대학 외과학교실) ;
  • 김성근 (가톨릭대학교 의과대학 외과학교실) ;
  • 박종경 (가톨릭대학교 의과대학 외과학교실) ;
  • 이 성 (가톨릭대학교 의과대학 외과학교실)
  • Published : 2010.06.30
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Abstract

Purpose: Laparoscopic cholecystectomy has been used widely for effective management of acute cholecystitis. However, it has limitations. In this study, we compared laparoscopic approaches and an open method. The meaning of the open method was assessed again. Methods: A retrospective review of 60 patients undergoing cholecystectomy for acute cholecystitis was done. Thirty patients were part of a laparoscopic cholecystectomy group; the other 30 patients were part of an open cholecystectomy group. Laparoscopic cholecystectomy was done using a 4-trochar method. We reviewed geographic characteristics, body mass index, white blood cell count, and clinical outcomes. Results: Age, gallbladder wall thickness and white blood cell counts were significantly different between the 2 groups; operation time was not. The length of the postoperative hospital stay in the laparoscopic group was significantly shorter than that in the open group. There was one case of bile leakage in the laparoscopic group which was treated by endoscopic nasal bile drainage. Conclusion: Open cholecystectomy is still a valid choice for acute cholecystitis in the modern era of laparoscopic surgery. In severe cases, conversion is not a failure and should be done immediately if necessary.

Keywords

References

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