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Prognostic parameters for the prediction of acute gangrenous cholecystitis

  • Original articles
  • Published:
Journal of Hepato-Biliary-Pancreatic Surgery

Abstract

Background/Purpose

The aim of this study was to identify preoperative prognostic parameters for gangrenous cholecystitis to differentiate this subgroup of patients with acute cholecystitis in order to provide immediate surgical therapy.

Methods

The medical records of patients who had an emergency cholecystectomy with the diagnosis of acute cholecystitis between January 2002 and June 2005 were reviewed retrospectively. Univariate and multivariate analysis were performed on the data.

Results

Out of 203 individuals with the clinical diagnosis of acute cholecystitis, 21 (10.3%) patients had a histological diagnosis of gangrenous cholecystitis. Multivariate analysis demonstrated an independent association of male sex, diabetes mellitus and white blood cell (WBC) count with the development of acute gangrenous cholecystitis.

Conclusions

The risk for gangrenous cholecystitis is increased in male patients who have diabetes and a greater WBC count than 14 900/mm3. Urgent surgical intervention should be considered for these patients because of the high morbidity and mortality rate of the condition.

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Authors and Affiliations

  1. First General Surgery Department, Haydarpasa Numune Research and Training Hospital, Istanbul, Turkey

    Cagatay Aydin, Gülüm Altaca, Ibrahim Berber, Koray Tekin, Melih Kara & Izzet Titiz

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  1. Cagatay Aydin
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  2. Gülüm Altaca
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  3. Ibrahim Berber
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  4. Koray Tekin
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  5. Melih Kara
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  6. Izzet Titiz
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Aydin, C., Altaca, G., Berber, I. et al. Prognostic parameters for the prediction of acute gangrenous cholecystitis. J Hepatobiliary Pancreat Surg 13, 155–159 (2006). https://doi.org/10.1007/s00534-005-1042-8

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  • DOI: https://doi.org/10.1007/s00534-005-1042-8

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