Abstract：
AIM:Cholecystectomy is one of the most common operations. Laparoscopic cholecystectomy has become the golden standard. Yet, conversion to open cholecystectomy is necessary in some patients. However, conversion maybe associated with increased complications and operation time. MATERIAL AND METHODS:The files of 1224 patients patients underwent scheduled elective cholecystectomy were reviewed in a retrospective cohort study. The files of patients who underwent open cholecystectomy operations during the same period were also examined. The demographic data, medical history, operation notes and reasons of conversion were evaluated. RESULTS:The total number of patients who were initiated a laparoscopic operation but converted to open cholecystectomy was 28 (2.28%). A total of 89 patients underwent open cholecystectomy including converted cases. In the regression analysis age, adhesions, edema in the gallbladder, bleeding, previous scar tissue were found to be significantly related to conversion, while sex and higher BMI were not. CONCLUSION:Conversion from laparoscopic to open operations may be inevitable at times. Effort must be done to predict the cases which need conversion to reduce potential complications. KEY WORDS:Conversion, Complication, Laparoscopic Cholecystectomy, Open Cholecystectomy. :La colecistectomia, una delle operazioni di più frequente esecuzione, è diventata il gold standard nella sua realizzazione per via laparoscopica. Tuttavia in alcuni pazienti è necessaria la conversione a laparotomia, che da parte sua potrebbe comportare maggiori complicazioni e tempi operativi prolungati. Sono state esaminare retrospettivamente le cartelle cliniche di 1224 pazienti sottoposti a colecistectomia in elezione programmata, ed anche le cartelle di pazienti sottoposti a colecistectomia laparotomica durante lo stesso periodo, valutando i dati demografici, la storia clinica, i dati dell’intervento e le ragioni della conversione. Il numero dei pazienti il cui intervento è iniziato per via laparoscopica ma poi è stato convertito in colecistectomia laparotomica è stato di 28 (2,28%), su un totale complessivo di 89 pazienti sottoposti a colecistectomia laparotomica. Nell’analisi di regressione, l’età, le aderenze, l’edema nella colecisti, il sanguinamento, il precedente tessuto cicatriziale sono risultati significativamente correlati alla conversione ad intervento laparotomico, mentre non lo erano il sesso e l’indice di massa corporea più elevato. La conversione da operazioni laparoscopica a laparotomica dunque può essere inevitabile. Occorre fare uno sforzo per prevedere i casi che richiedono una conversione per ridurre potenziali complicazioni.
journal_name
Ann Ital Chirjournal_title
Annali italiani di chirurgiaauthors
Vardar YM,Akturk OMsubject
Has Abstractpub_date
2020-01-01 00:00:00pages
181-186eissn
0003-469Xissn
2239-253Xpii
S0003469X20030286journal_volume
91pub_type
杂志文章abstract：AIM:Trans-Abdominal Preperitoneal Patch (TAPP) repairs for Recurrent Hernia (RH) is a technically demanding procedure. It has to be performed only by surgeons with extensive experience in the laparoscopic approach. The purpose of this study is to evaluate the surgical safety and the efficacy of TAPP for RH performed in...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2017-01-01 00:00:00
abstract：:Superior mesenteric artery syndrome is an uncommon clinical condition. A case of duodenal vascular compression and a review of the literature are reported in order to clarify the pathophysiology of the disease. Diagnostic values of hypotonic duodenography and angiography are emphasized. Although, the significance of l...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1989-11-01 00:00:00
abstract：AIM:To evaluate three-port colectomy as an alternative reduced-port laparoscopy technique in colonic surgery. MATERIAL OF STUDY:Retrospective study carried out through the analysis of 32 consecutive patients that underwent alternatively to a three ports left colectomy or a conventional laparoscopic colectomy for colon...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-01-01 00:00:00
abstract：:Thyroid surgery is a clean procedure and therefore antibiotic prophylaxis is not routinely recommended by most international guidelines. However, antibiotics are often used in clinical practice. We enrolled 2926 patients who performed a thyroid surgical operation between the years 2009 and 2011 in the 38 centers of en...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,多中心研究
doi：
更新日期：2014-01-01 00:00:00
abstract：INTRODUCTION:Coverage of soft tissue defects in the lower leg is often made by use of free flap, also because of the improving of anaesthesiology techniques in the last decades. However, there are disadvantages in the use of free flaps like the need for a remote donor site, increased operative time, use of a major vess...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2007-07-01 00:00:00
abstract：:By long experience with the problems on hiatal hernias and reflux the author summarizes and analyzes errors and progress in development, interpretation, diagnostic methods and treatment. After the pioneer work done by Akerlund 1926 the hiatal hernia was a sometimes dangerous surgical target. It remained for a long tim...
journal_title：Annali italiani di chirurgia
pub_type： 社论,评审
doi：
更新日期：1993-05-01 00:00:00
abstract：:The surgery of the thyroid pathologies in Day and/or One-Day-Surgery requires a thorough choice former of the surgery of the patients and the availability of the team specialist that could guarantee an adequate nursing after surgery. The authors describe the advantages and the limits of the short confined to stay in h...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2002-09-01 00:00:00
abstract：PURPOSE:Chemotherapeutic factors are known to affect healing on the postoperative patient. The aim of the present experimental study was to evaluate the effect of intraperitoneal infusion of 5-fluorouracil, bleomycin and cisplatin on the healing of colonic anastomoses in rats. METHODS:Forty Albino-Wistar male rats wer...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2020-01-01 00:00:00
abstract：:Variations from normal anatomy of extrahepatic biliary tract, especially if on the basis of a congenital defect, are often dangerous for the surgeon, as hidden cause of a possible injury during surgery. During a cholecystectomy performed for lithiasis in non functioning gallbladder, whose preoperative cholangiogram re...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1989-09-01 00:00:00
abstract：:The intestinal tuberculosis is a rare disease in Europe and in North America. It is an important disease because some patients can develop intestinal stricture or subacute intestinal obstruction and, sometimes, tuberculous peritonitis. It is often difficult differentiate intestinal tuberculosis from Crohn's disease or...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1990-11-01 00:00:00
abstract：BACKGROUND:The Bariatric Analysis and Reporting Outcome System (BAROS) has been recently introduced to assess the modifications of weight, comorbidities and quality of life (QOL) after bariatric surgery, in order to achieve a standard for comparison in the treatment of obesity. This study reports the Authors' experienc...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2004-07-01 00:00:00
abstract：AIM:Reporting our experience in the treatment of duodenal neoplasms. MATERIAL OF STUDY:Management and treatment of four patients presenting a duodenal neoplasm. RESULTS:Three out of four patients died after surgery for dehiscence and/or bleeding. One, who underwent palliative bypass, died after four months from unkno...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-07-01 00:00:00
abstract：BACKGROUND:Oncoplastic breast-conserving surgery (OPBS) is a rapidly emerging field. Various oncoplastic techniques have been proposed and are increasingly adopted to facilitate breast conservation and preserve breast aesthetics. This systematic review seeks to assess the oncological and cosmetic outcomes of OPBS. MAT...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2016-01-01 00:00:00
abstract：BACKGROUND:Desmoid-type fibromatosis (DTF) is a "locally aggressive, but not metastasizing" proliferation of soft tissues that is difficult to diagnose pre-operatively. Surgical en bloc resection of abdominal DTF can be difficult or an overtreatment. The diagnosis is therefore crucial for the decision making to minimiz...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2014-12-12 00:00:00
abstract：:A case of perforated jejunal diverticulitis in a 87-year-old man is described and the literature is reviewed. Jejunal diverticulosis (JD) is estimated to occur in 0.02% to 1.3% of the adult population and is found most often in the elderly. The acute diverticulitis with perforation has been reported as high as 2.3% am...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2000-01-01 00:00:00
abstract：AIM:Rectal cancer shows a high incidence in older patients, however, only few reports focused exclusively on rectal cancer with the exclusion of the surgery of the colon. This retrospective study aims to compare short-term and long-term outcomes for rectal cancer in patients more than 75 years old with that observed in...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-01-01 00:00:00
abstract：:Head and neck surgery presents a high operating risk of infectious complications. We agree upon the fact that 60% of the so-called infected operations would be complicated by secondary infections if they are not treated by antibiotic therapy. Such a premise justifies the more and more used application of a chemoprophy...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1990-03-01 00:00:00
abstract：BACKGROUND:The appropriate treatment of major bile duct injuries is mandatory in order to avoid serious complications, such as bile peritonitis or secondary biliary liver cirrhosis. In the last fourty years, surgical, endoscopic or radiologic techniques of cure have been proposed, but in our opinions, the preferred opt...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2002-01-01 00:00:00
abstract：BACKGROUND AND AIMS:vertical banded gastroplasty (GPV) is the most frequently performed restrictive procedure for morbid obesity, but long-term follow-up is almost nonexistent. A poor outcome after GPV and a low quality of life has been reported. The aim of the study was to determine long-term outcome after 5 years fol...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2003-11-01 00:00:00
abstract：:From the beginning of the 60s, Japanese Lung Cancer Society (JLCS) proposed an original TNM classification of lung cancer based on a database of resected cases. The final step was the UICC classification edited in 1973. Complete hilar-mediastinal lymph node dissection was started in the same era and the concept of sta...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1999-11-01 00:00:00
abstract：AIM OF THE STUDY:To define the characteristics of Crohn's disease in the elderly, basing on our own and other Authors' experience. CASISTIC: During last 10 years, 46 patients affected by Crohn's disease were observed at Emergency Surgery Unit of "Vittorio Emanuele" Hospital in Catania (Italy). Of these patients, 4 (8,6...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2006-05-01 00:00:00
abstract：:Combined modality treatments are indicated for most patients with breast cancer. The definition of a proper treatment schedule and of the timing of each modality is a relevant issue that affects the feasibility and the clinical outcome of the treatment. A review of the literature was done on the timing of radiation th...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：1999-05-01 00:00:00
abstract：AIM:The aim of our study was to assess the value of several prognostic factors for patients with clear cell renal carcinoma without distant metastases (M0) who underwent surgery in our Department from 1980 to 2010. MATERIAL OF STUDY:We analyzed131 consecutive patients with clear cell renal carcinoma who had nephrectom...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2016-01-01 00:00:00
abstract：AIM:To evaluate accuracy of endorectal ultrasonography (ERUS) both in staging and restaging rectal cancer after neoadjuvant chemoradiotherapy treatment. METHODS:In a group of 80 patients with rectal cancer, we retrospectively selected 67 patients and divided in two groups: 41 patients affected by a stage I were invest...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2014-11-01 00:00:00
abstract：:The authors refer to three cases of congenital dilatation of the biliary system in an adult, an extremely rare pathology in the West, with no specific symptomatology, and therefore often discovered accidentally and unexpectedly The first patient had suffered from unexplained periods of fever since childhood, the secon...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2011-11-01 00:00:00
abstract：:Multinodular goitre is a very common pathology among people especially female adult and represents more than 90% of the thyroid surgery. We analyzed 37 patients, demonstrating that the whole gland is progressively affected by an incessant nodulogenesis and we confirm the necessity of total thyroidectomy in order to el...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章,评审
doi：
更新日期：2003-03-01 00:00:00
abstract：:In this study the authors examined the influence of 71, beta-estradiol on cutaneous fibroblasts taken off either from healthy patients with no family history for cancer, or from patients with breast cancer. Fibroblasts were taken from the subcutaneous tissue of the mammary gland by a biopsy carried out in each patient...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：1994-11-01 00:00:00
abstract：:Although skin burns at the site of grounding pad are a known risk of surgery, their exact incidence is unknown. We first report the case of a patient who presented a deep gluteal burn at the site of the grounding pad after an abdominal aortic aneurism repair, the etiology and the challenging treatment required to over...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2015-06-24 00:00:00
abstract：AIM OF THE STUDY:To estimate our 3-year experience on the diagnosis and monitoring of the spleen traumatic lesions with the employment of ultrasound microbubbles contrast. METHOD:From the 174 patients who were joints to our department in regimen of urgency for abdominal traumatic lesions, we have estimated 24 patiens ...
journal_title：Annali italiani di chirurgia
pub_type： 杂志文章
doi：
更新日期：2006-09-01 00:00:00
abstract：:The authors present clinical and instrumental results of N. 543 operations executed by CHIVA system. These cases are the result of trial performed in seven SIOC (Italian Society of CHIVA Operators) centers executed from November '87 to July '89. Functional and aesthetic results had been very good on over 85% of all ca...
journal_title：Annali italiani di chirurgia
pub_type： 临床试验,杂志文章,多中心研究
doi：
更新日期：1990-07-01 00:00:00
