Effects of prior abdominal surgery on laparoscopic cholecystectomy
Deniz Atasoy1, Afag Aghayeva1, İpek Sapcı2, Onur Bayraktar1, Turgut Bora Cengiz2, Bilgi Baca1
1Department of General Surgery, Acıbadem University School of Medicine, İstanbul, Turkey
2Student, Acıbadem University School of Medicine, İstanbul, Turkey
Objectives: With increased experience and technological advancement, laparoscopic cholecystectomy is reported to be safe and feasible even in the presence of most of the previously recognized contraindications. The purpose of this study was to explore the effects of prior upper and lower abdominal surgery on laparoscopic cholecystectomy.
Material and Methods: A retrospective evaluation of all sequential patients who underwent laparoscopic cholecystectomy from January 2014 to June 2016 was conducted. Patients were divided into three groups (Group A: patients without any prior abdominal surgical procedures; Group B: patients with prior upper abdominal surgical procedures; and Group C: patients with prior lower abdominal surgical procedures).
Results: A total of 329 patients were assessed. Group A consisted of 223, Group B of 18, and Group C of 88 patients. A statistically significantly higher operative time, postoperative pain, and complication rate after laparoscopic cholecystectomy were noted in patients with prior upper abdominal surgery. The groups were comparable regarding patients’ demographics and surgery indications. The length of hospital stay was not statistically different between the groups (p=0.065).
Conclusion: According to the results of the current study, prior upper abdominal surgery leads to a significantly longer procedure time, higher postoperative pain, and complication rates after laparoscopic cholecystectomy. However, the length of hospital stay was not affected by the parameters investigated.
Keywords: Cholecystectomy, cholelithiasis, laparoscopy, previous abdominal surgery
Cite this paper as: Atasoy D, Aghayeva A, Sapcı İ, Bayraktar O, Cengiz TB, Baca B. Effects of prior abdominal surgery on laparoscopic cholecystectomy. Turk J Surg 2018; 10.5152/turkjsurg.2017.3930.
This study was presented at the “20th National Congress of Surgery and 16th Congress of Surgical Nursing”, “April 13-17, 2016”, “Antalya, Turkey”.
Ethics committee approval was received for this study from the Ethics Committee of Acibadem University School of Medicine (2016-13/7).
Written informed consent was obtained from patients who participated in this study.
Concept - D.A., A.A., O.B.; Design - D.A., A.A., İ.S.; Supervision - D.A., A.A., B.B.; Resource - İ.S., T.B.C., O.B.; Materials - İ.S., T.B.C.; Data Collection and/or Processing - A.A., İ.S., T.B.C.; Analysis and/or Interpretation - D.A., A.A., B.B.; Literature Search - A.A., İ.S., T.B.C.; Writing Manuscript - D.A., O.B., İ.S.; Critical Reviews - A.A., B.B.
The authors have no conflicts of interest to declare.
The authors declared that this study has received no financial support.