Journals / Laparoscopic Endoscopic Surgical Science / 2019 / Cilt: 26 - Sayı: 2

An evaluation of the reliability of the neutrophil-tolymphocyte ratio in patients with acute cholecystitis undergoing laparoscopic surgery

Pages
68–72
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Overall, 90 (48.6%) patients had normal leukocyte values and 59(31.8%) patients had normal CRP values.

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: Acute cholecystitis is observed quite commonly in emergency surgery clinics and parameters are needed for diagnosis and treatment.
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Key Findings & Data:The aim of this study was to determine whether the neutrophil-tolymphocyte ratio (NLR) is of benefi in the diagnosis of acute cholecystitis.Materials and Methods: A retrospective evaluation of patients who were hospitalized between January 2014 and February 2018 for the treatment of acute cholecystitis was conducted.
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Conclusion & Impact:Overall, 90 (48.6%) patients had normal leukocyte values and 59(31.8%) patients had normal CRP values.
🔬Design:Research Article
📍Scope:2014 Verileri
⚙️Variables:Domain Parameters

Özet

Introduction: Acute cholecystitis is observed quite commonly in emergency surgery clinics and parameters are needed for diagnosis and treatment. The aim of this study was to determine whether the neutrophil-tolymphocyte ratio (NLR) is of benefi in the diagnosis of acute cholecystitis.Materials and Methods: A retrospective evaluation of patients who were hospitalized between January 2014 and February 2018 for the treatment of acute cholecystitis was conducted. The blood tests and radiologicaltests of the patients were evaluated. The NLR was calculated and compared with the clinical and laboratory values of the patients.Results: A total of 185 patients were identifid, comprising 102 (55.1%) females and 83 (44.9%) males with a mean age of 51.5±15.9 years. The mean leukocyte count was 11.6±3.6 109/L and the mean C-reactive protein (CRP) value was 37±76.4 mg/L. Overall, 90 (48.6%) patients had normal leukocyte values and 59(31.8%) patients had normal CRP values. In 20 (10.8%) patients with an NLR of approximately 1, only 1 (5%) was aged >60 years and all of the remaining patients were <45 years of age. In 53 (28.6%) patients, the NLR was determined to be approximately 2, and the NLR value was ≥3 in 112 (60.5%) patients.Conclusion: Awareness of an increased NLR may be benefiial in the diagnosis of patients with acute cholecystitis.

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Cite This Article

ÖZDENKAYA, Y., BADEMCİ, R. (2019). An evaluation of the reliability of the neutrophil-tolymphocyte ratio in patients with acute cholecystitis undergoing laparoscopic surgery. Laparoscopic Endoscopic Surgical Science, Cilt: 26 - Sayı: 2, 68–72. https://ajindex.com/articles/345117

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References (13)

  1. Peery AF, Crockett SD, Barritt AS, Dellon ES, Eluri S, Gangarosa LM, et al. Burden of Gastrointestinal, Liver, and Pancreatic Diseases in the United States. Gastroenterology 2015;149:1731–41.e3
  2. Fagenholz PJ, Fuentes E, Kaafarani H, Cropano C, King D, de Moya M, et al. Computed Tomography Is More Sensitive than Ultrasound for the Diagnosis of Acute Cholecystitis. Surg Infect (Larchmt) 2015;16:509–12
  3. Yokoe M, Takada T, Strasberg SM, Solomkin JS, Mayumi T, Gomi H, et al; Tokyo Guidelines Revision Committee. TG13 diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci 2013;20:35–46
  4. Zahorec R. Ratio of neutrophil to lymphocyte counts-rapid and simple parameter of systemic inflammation and stress in critically ill. [Article in English, Slovak]. Bratisl Lek Listy 2001;102:5–14
  5. Durukan P, Çevik Y, Yıldız M. Valuableness of Scoring Systems In Evaluation of Critical Patient In Emergency Department For Geriatric Patients Turkish Journal of Geriatrics 2005;8:111–4
  6. Yeniocak S, Turkmen S, Uzun O, et al. Akut karın ağrısıyla acil servise başvuran hastaların analizi. JAEM 2012;11:212–5
  7. Wilson AK, Kozol RA, Salwen WA, Manov LJ, Tennenberg SD. Gangrenous cholecystitis in an urban VA hospital. J Surg Res 1994;56:402–4
  8. Virzì V, Ognibene NMG, Sciortino AS, Culmone G, Virzì G. Routine MRCP in the management of patients with gallbladder stones awaiting cholecystectomy: a single-centre experience. Insights Imaging 2018;9:653–9
  9. Kim MS, Kwon HJ, Park HW, Park JY, Chung EC, Park HJ, et al. Preoperative prediction model for conversion of laparoscopic to open cholecystectomy in patient with acute cholecystitis: based on clinical, laboratory, and CT parameters. J Comput Assist Tomogr 2014;38:727–32
  10. Kimura Y, Takada T, Strasberg SM, Pitt HA, Gouma DJ, Garden OJ, et al. TG13 current terminology, etiology, and epidemiology of acute cholangitis and cholecystitis. J Hepatobiliary Pancreat Sci 2013;20:8–23
  11. Papadakis M, Ambe PC, Zirngibl H. Critically ill patients with acute cholecystitis are at increased risk for extensive gallbladder inflammation. World J Emerg Surg 2015;10:59
  12. Haltmeier T, Benjamin E, Inaba K, Lam L, Demetriades D. Early versus delayed same-admission laparoscopic cholecystectomy for acute cholecystitis in elderly patients with comorbidities. J Trauma Acute Care Surg 2015;78:801–7
  13. Kum CK, Goh PM, Isaac JR, Tekant Y, Ngoi SS. Laparoscopic cholecystectomy for acute cholec