AI Summary & Key Takeaways
AI InsightThe length of hospital stay was not statistically different betweenthe 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.
📌 3 Key Takeaways
Özet
Objectives: With increased experience and technological advancement, laparoscopic cholecystectomy is reportedto be safe and feasible even in the presence of most of the previously recognized contraindications. The purpose ofthis 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: patientswithout 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 regardingpatients’ demographics and surgery indications. The length of hospital stay was not statistically different betweenthe 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.