Intraoperative Findings of Elective Laparoscopic Cholecystectomy in Diabetics Versus Nondiabetics: A Comparative Study.
cholecystitis
complications
diabetes
gallstone disease
intraoperative finding
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Jan 2022
Jan 2022
Historique:
accepted:
03
01
2022
entrez:
11
2
2022
pubmed:
12
2
2022
medline:
12
2
2022
Statut:
epublish
Résumé
Objectives Diabetes mellitus predisposes to the formation of gallstones. Surgery for gallstone disease (GSD) in diabetic patients also carries more risk compared with nondiabetic patients. The objective of the present study was to evaluate the intraoperative findings of elective laparoscopic cholecystectomy in diabetics and nondiabetics. Methods This study was carried out for two years in the department of general surgery as a prospective observational study. Two groups of patients with uncomplicated gallstone disease were recruited: one group included 75 diabetics and the other one included 75 nondiabetics. The two study groups were matched by age and gender. Detailed history and intraoperative findings and their outcomes were recorded. Patients with emergencylaparoscopiccholecystectomy for acute cholecystitis and its complications and cholecystectomy associated with common bile duct (CBD) stones were excluded from the study. Results The results of elective laparoscopic cholecystectomy in the groups were compared. No demographic differences were found between the groups. Adverse intraoperative findings such as thick-walled gallbladder (GB), pericholecystic collections, and adhesions to the surrounding structures, surgical difficulties, modification to subtotal cholecystectomy, and open conversion were more frequent in diabetic patients than in nondiabetic patients. Conclusion Laparoscopic cholecystectomy in diabetic patients had more adverse intraoperative findings in comparison to nondiabetic patients. However, in elective laparoscopic cholecystectomy, good preoperative preparation and meticulous surgical technique are mandatory to achieve similar outcomes between the groups.
Identifiants
pubmed: 35145791
doi: 10.7759/cureus.20886
pmc: PMC8807453
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e20886Informations de copyright
Copyright © 2022, Luthra et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Surg Endosc. 2008 May;22(5):1283-9
pubmed: 17968623
Dig Liver Dis. 2004 Feb;36(2):130-4
pubmed: 15002821
Pak J Med Sci. 2013 Jan;29(1):187-90
pubmed: 24353537
BMC Surg. 2015 Apr 24;15:48
pubmed: 25903474
World J Surg. 2006 Sep;30(9):1698-704
pubmed: 16927065
Nat Clin Pract Neurol. 2007 Jun;3(6):331-40
pubmed: 17549059
Surg Endosc. 2011 Mar;25(3):764-70
pubmed: 20661751
J Laparoendosc Adv Surg Tech A. 2010 Jun;20(5):417-20
pubmed: 20518693
Surg Res Pract. 2015;2015:284063
pubmed: 26078998
Surgery. 1982 Mar;91(3):254-7
pubmed: 7058506
J Am Coll Surg. 2018 Mar;226(3):332
pubmed: 29478470
JAMA Surg. 2015 Feb;150(2):159-68
pubmed: 25548894
Gut Liver. 2012 Apr;6(2):172-87
pubmed: 22570746
J Minim Access Surg. 2014 Apr;10(2):62-7
pubmed: 24761077
J Clin Gastroenterol. 2003 Oct;37(4):288-91
pubmed: 14506384
Am J Surg. 2018 Nov;216(5):949-954
pubmed: 29631908
J Diabetes Complications. 2016 Mar;30(2):368-73
pubmed: 26684168