Table 2.
Comparison of operative data in patients with gangrenous and non-gangrenous acute cholecystitis
All patients (n = 290) | Non-gangrenous acute cholecystitis group (n = 184) | Gangrenous cholecystitis group (n = 106) | P-value | |
---|---|---|---|---|
Preoperative management, n (%) | ||||
Preoperative ICU | 9 (3%) | 6 (3%) | 3 (3%) | 1.000 |
Preoperative ERCP | 27 (9%) | 22 (12%) | 5 (5%) | 0.090 |
Preoperative antibiotics | 247 (85%) | 147 (80%) | 100 (94%) | 0.001 |
Operation, n (%) | ||||
Emergency surgery | 272 (94%) | 168 (91%) | 104 (98%) | 0.021 |
Laparoscopic surgery | 254 (88%) | 163 (89%) | 91 (86%) | 0.496 |
Open surgery | 9 (3%) | 8 (4%) | 1 (1%) | 0.162 |
Conversion to open surgery | 27 (10%) | 13 (7%) | 14 (14%) | 0.096 |
Drain tube in situ | 198 (68%) | 112 (61%) | 86 (81%) | <0.001 |
IOC, n (%) | ||||
IOC performed | 175 (60%) | 116 (63%) | 59 (56%) | 0.216 |
IOC detected stones | 31 (11%) | 21 (11%) | 10 (9%) | 0.599 |
Operative time, min, median (range) | 100 (25–360) | 100 (25–360) | 105 (35–210) | 0.401 |
Surgeon, n (%) | ||||
Consultant surgeon scrubbed | 150 (52%) | 87 (47%) | 63 (59%) | 0.046 |
Extra procedure, n (%) | ||||
Transpapillary stent | 7 (2%) | 3 (2%) | 4 (4%) | 0.429 |
Gallstones present at pathology examination, n (%) | ||||
No gallstones identified | 50 (18%) | 30 (17%) | 20 (19%) | 0.682 |
Single gallstone | 57 (20%) | 36 (20%) | 21 (20%) | 0.959 |
ICU, intensive care unit; ERCP, endoscopic retrograde cholangiopancreatography; IOC, intraoperative cholangiogram.