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Revista chilena de cirugía

versão On-line ISSN 0718-4026

Resumo

BRAGHETTO M, ITALO et al. Ultrasonographic and laparoscopic correlation in acute and chronic cholecystitis: 10 years later validation. Rev Chil Cir [online]. 2011, vol.63, n.2, pp.170-177. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262011000200007.

Introduction: Abdominal ultrasound is the initial diagnosis tool for gallbladder disease and laparoscopic surgery is the gold standard approach. The aim of this study was to validate 10 years after, the ultrasonographic and laparoscopic findings previously proposed by our team to forecast laparoscopic cholecystectomy in terms of difficulties and perioperative complications. Materials and Methods: We evaluated 336 patients operated by laparoscopy between June and ¡December 2007 in our center. Ultrasound findings were classified according to the classification proposed in 1997 based on the thickness of the gallbladder wall, lumen and the presence of gallstones or sonic shadow. Results: Type I and IIA cholecystitis had a lower percentage of intraoperative difficulties (14.9 and 32.8% respectively) and conversion to open surgery (1.1 vs 1.7% respectively), whereas type LIB and III were associated greater presence of difficulties (51.3% and 71.4% respectively) and conversion rate (9.2% and 23.8% respectively). Conclusions: this classification is a useful tool in de correlation of ultrasonographic and laparoscopic findings in acute and chronic cholecystitis, helping the surgeon in predicting surgical problems, complications and risk of conversion to open surgery and supports the results previously published.

Palavras-chave : Cholecystitis; ultrasound; laparoscopy.

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