Background: Acute cholecystitis (AC) is the most common complication of gall bladder stones. C-reactive protein (CRP) level is only used as a diagnostic criterion of AC. Because there is the lack of studies demonstrating a better discrimination power of CRP measurement on AC, The aim of this study was evaluate the discriminative power of CRP in AC management and treatment outcome. Patients and methods: The number of patients in this study was 30 patients presented with AC. After clinical examination, Laboratory and radiological investigations and resuscitation within 1st 24h. of admission, all patients treated by laparoscopic cholecystectomy (LC). Results: Out of total participants, 8 patients were males (26.7%) and 22 females (73.3%). There ages ranged from 21 to 66 years with mean ± SD 11.29. Higher levels CRP were found in cases of high grade fever, palpable tender RT. hypochondrial mass and pyocele cases with significant difference was 0.001, 0.001 and 0.005 respectively. Timing of intervention was within 7 days from 1st symptom day ranging 2-7 days with mean 4.37. Total operative time was ranging from 42-180 minutes with mean 109.57. Blood loss ranging from 50-200 cc with mean 95. Total hospital stay ranged from 4-6 days. Conclusion: High levels of CRP with male sex, high grade fever preoperatively, presence of palpable tender RT. hypochondrial mass, high total leucocytic count, cases of pyocele and presence of intra-operative adhesion and timing of intervention are risk factors for difficulty, complications, operative and postoperative out come in patients undergoing laparoscopic cholecystectomy for Acute cholecystitis.
| Published in |
Journal of Surgery (Volume 5, Issue 3-1)
This article belongs to the Special Issue Minimally Invasive and Minimally Access Surgery |
| DOI | 10.11648/j.js.s.2017050301.14 |
| Page(s) | 16-22 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2017. Published by Science Publishing Group |
C-reactive Protein, Risk Factor, Acute Cholecystitis, Complication Laparoscopic Cholecystectomy
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APA Style
Hamdy A. Elhady, Taha Ahmed Esmail. (2017). Is C-reactive Protein an Independent Risk Factor for Complication of Laparoscopic Cholecystectomy for Acute Cholecystitis. Journal of Surgery, 5(3-1), 16-22. https://doi.org/10.11648/j.js.s.2017050301.14
ACS Style
Hamdy A. Elhady; Taha Ahmed Esmail. Is C-reactive Protein an Independent Risk Factor for Complication of Laparoscopic Cholecystectomy for Acute Cholecystitis. J. Surg. 2017, 5(3-1), 16-22. doi: 10.11648/j.js.s.2017050301.14
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Download@article{10.11648/j.js.s.2017050301.14,
author = {Hamdy A. Elhady and Taha Ahmed Esmail},
title = {Is C-reactive Protein an Independent Risk Factor for Complication of Laparoscopic Cholecystectomy for Acute Cholecystitis},
journal = {Journal of Surgery},
volume = {5},
number = {3-1},
pages = {16-22},
doi = {10.11648/j.js.s.2017050301.14},
url = {https://doi.org/10.11648/j.js.s.2017050301.14},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2017050301.14},
abstract = {Background: Acute cholecystitis (AC) is the most common complication of gall bladder stones. C-reactive protein (CRP) level is only used as a diagnostic criterion of AC. Because there is the lack of studies demonstrating a better discrimination power of CRP measurement on AC, The aim of this study was evaluate the discriminative power of CRP in AC management and treatment outcome. Patients and methods: The number of patients in this study was 30 patients presented with AC. After clinical examination, Laboratory and radiological investigations and resuscitation within 1st 24h. of admission, all patients treated by laparoscopic cholecystectomy (LC). Results: Out of total participants, 8 patients were males (26.7%) and 22 females (73.3%). There ages ranged from 21 to 66 years with mean ± SD 11.29. Higher levels CRP were found in cases of high grade fever, palpable tender RT. hypochondrial mass and pyocele cases with significant difference was 0.001, 0.001 and 0.005 respectively. Timing of intervention was within 7 days from 1st symptom day ranging 2-7 days with mean 4.37. Total operative time was ranging from 42-180 minutes with mean 109.57. Blood loss ranging from 50-200 cc with mean 95. Total hospital stay ranged from 4-6 days. Conclusion: High levels of CRP with male sex, high grade fever preoperatively, presence of palpable tender RT. hypochondrial mass, high total leucocytic count, cases of pyocele and presence of intra-operative adhesion and timing of intervention are risk factors for difficulty, complications, operative and postoperative out come in patients undergoing laparoscopic cholecystectomy for Acute cholecystitis.},
year = {2017}
}
TY - JOUR T1 - Is C-reactive Protein an Independent Risk Factor for Complication of Laparoscopic Cholecystectomy for Acute Cholecystitis AU - Hamdy A. Elhady AU - Taha Ahmed Esmail Y1 - 2017/02/06 PY - 2017 N1 - https://doi.org/10.11648/j.js.s.2017050301.14 DO - 10.11648/j.js.s.2017050301.14 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 16 EP - 22 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.s.2017050301.14 AB - Background: Acute cholecystitis (AC) is the most common complication of gall bladder stones. C-reactive protein (CRP) level is only used as a diagnostic criterion of AC. Because there is the lack of studies demonstrating a better discrimination power of CRP measurement on AC, The aim of this study was evaluate the discriminative power of CRP in AC management and treatment outcome. Patients and methods: The number of patients in this study was 30 patients presented with AC. After clinical examination, Laboratory and radiological investigations and resuscitation within 1st 24h. of admission, all patients treated by laparoscopic cholecystectomy (LC). Results: Out of total participants, 8 patients were males (26.7%) and 22 females (73.3%). There ages ranged from 21 to 66 years with mean ± SD 11.29. Higher levels CRP were found in cases of high grade fever, palpable tender RT. hypochondrial mass and pyocele cases with significant difference was 0.001, 0.001 and 0.005 respectively. Timing of intervention was within 7 days from 1st symptom day ranging 2-7 days with mean 4.37. Total operative time was ranging from 42-180 minutes with mean 109.57. Blood loss ranging from 50-200 cc with mean 95. Total hospital stay ranged from 4-6 days. Conclusion: High levels of CRP with male sex, high grade fever preoperatively, presence of palpable tender RT. hypochondrial mass, high total leucocytic count, cases of pyocele and presence of intra-operative adhesion and timing of intervention are risk factors for difficulty, complications, operative and postoperative out come in patients undergoing laparoscopic cholecystectomy for Acute cholecystitis. VL - 5 IS - 3-1 ER -
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