J Korean Surg Soc.  2006 Feb;70(2):130-134.

Predictive Factors for Open Cholecystectomy in Acute Cholecystitis

• Lee YM
• Shin JH

Abstract

PURPOSE: Laparoscopic cholecystectomy (LC) has been the standard treatment for acute cholecystitis (AC). However, there is a high conversion rate and incidence of complications. The aim of this study was to define the factors for an open cholecystectomy in acute cholecystitis.
METHODS
From May 2002 to February 2004, 116 patients undergoing a cholecystectomy for AC were retrospectively evaluated. The LC group was compared with an open cholecystectomy (OC) group in terms of gender, age, WBC count, bilirubin, ALT, underlying disease, wall thickness of the GB, and a history of upper abdomen surgery.
RESULTS
Univariate analyasis revealed age (> or =65), previous upper abdominal surgery ,complicated cholecystitis, and a thickened GB wall (> or =11 mm) to be significant factors associated with an open cholecystectomy. Multivariate analysis showed age (> or =65), and a thickened GB wall (> or =11 mm) to be significant factors.
CONCLUSION
In high risk patients for open cholecystectomy, the surgeon should explain the risks to the patient and perform an early conversion.

Keyword

Acute cholecystitis (AC); Laparoscopic cholecytectomy (LC); Open cholecystectomy

MeSH Terms

Abdomen
Bilirubin
Cholecystectomy*
Cholecystectomy, Laparoscopic
Cholecystitis
Cholecystitis, Acute*
Humans
Incidence
Multivariate Analysis
Retrospective Studies
Bilirubin