Early versus Delayed Laparoscopic Cholecystectomy in Acute Calcular Cholecystitis According to Tokyo Guidelines: A Prospective Study | ||||
| The Medical Journal of Cairo University | ||||
| Article 52, Volume 86, September, September 2018, Page 2557-2564 PDF (789.4 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjcu.2018.58059 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| YEHIA H. ZAYED, M.D.; ASHRAF I. AL-SHARKAWY, M.D.; MO'MEN I. ALI AL-MINYAWI, M.Sc. | ||||
| The Department of General Surgery, Faculty of Medicine (for Girls), Al-Azhar University, Cairo | ||||
| Abstract | ||||
| Abstract Background: Acute Cholecystitis (AC) is acute inflam-mation of the gallbladder wall associated with leukocytosis and fever and is the second most common cause of inflamma-tory acute abdomen. The Tokyo Guidelines 2013 (TG13) was started as a way to show recommended diagnosis and treat-ments according to the severity of AC. Patients are classified into Grade I (mild) acute cholecystitis in a healthy patient with no organ dysfunction, Grade II (moderate) acute chole-cystitis is associated with (Elevated WBC count >18,000/mm3, mass in the right upper abdominal quadrant, duration of complaints >72 hours, Grade III (severe) acute cholecystitis is associated with organ dysfunction. Aim of Work: The aim of the work was to study TG13 in diagnosis and severity of acute cholecystitis. Patients and Methods: This analytical prospective study was carried out on 50 patients presented with acute calcular cholecystitis admitted in the General Surgery Department at Al-Zahraa University Hospital in the period from April 2016 to November 2017 with assesmment and treatment according to TG13 either early or laparoscopic cholecystectomy. Results: Statistical analysis of our study showed accuracy with TG13 and other studies done according to it with low conversion rate from laparoscopic to open surgery and low intraoperative and post-operative complications. Conclusions: It is important to use Tokyo guidelines during diagnosis and treatment of acute calcular cholecystitis. | ||||
| Keywords | ||||
| Tokyo guideliness – Acute calcular cholecystitis – Laparoscopic cholecystectomy | ||||
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