Surgical Outcome of Laparoscopic Cholecystectomy in Patients With a History of Gastrectomy.

Abstract

BACKGROUND:

Although laparoscopic cholecystectomy (LC) has been applied to patients with a history of abdominal surgery, we lack data on the surgical outcome of LC in patients with a history of gastrectomy. Here, we assessed the outcomes of LC and investigated predictive factors for conversion from laparoscopic to open surgery in patients with a gastrectomy history.

PATIENTS AND METHODS:

We retrospectively compared the surgical outcomes of LC between patients with and without a history of gastrectomy. We performed multivariate regressions to identify independent predictive factors for open conversion during an LC.

RESULTS:

Among 2235 patients who underwent LCs, 39 (1.7%) had undergone a previous gastrectomy (29 men, 10 women; mean age, 72 y; 34 with distal gastrectomy and 5 with total gastrectomy). The operation time, intraoperative bleeding, postoperative hospital stays, and conversion rate were significantly worse in patients with, compared with those without the history of gastrectomy. Conversion during an LC in the cases with a history of gastrectomy was significantly correlated with age and the type of gastrectomy.

CONCLUSIONS:

These results suggested that LC in patients with a history of gastrectomy exhibited worse outcomes in terms of operation time, intraoperative bleeding, postoperative hospital stay, and conversion rate than those without it. Furthermore, it was also implied that age and the type of gastrectomy were significant predictive factors for conversion during an LC in patients with a history of gastrectomy.

• Authors: Takashi Harino, Yoshito Tomimaru, Yuki Yokota, Kozo Noguchi, Junzo Shimizu, Tsukasa Taguchi, Yoshitomo Yanagimoto, Yozo Suzuki, Masashi Hirota, Tsukasa Tanida, Shingo Noura, Hiroshi Imamura, Takashi Iwazawa, Keizo Dono
• Journal: Surgical laparoscopy, endoscopy & percutaneous techniques (Surg Laparosc Endosc Percutan Tech) Vol. 31 Issue 2 Pg. 170-174 (Sep 02 2020) ISSN: 1534-4908 [Electronic] United States
• PMID: 32890252 (Publication Type: Journal Article)
• Copyright: Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

Topics

• Aged
• Cholecystectomy, Laparoscopic
• Female
• Gastrectomy
• Gastroenterostomy
• Humans
• Male
• Retrospective Studies
• Treatment Outcome