Cukurova Medical Journal (Sep 2021)
Differences between groups with and without morbidity in cholecystectomy
Abstract
Purpose: The aim of this study was to determine the differences between the patients with postoperative complications and the patients without postoperative complications in cholecystectomy cases and to identify parameters that should be considered regarding complications. Materials and Methods: Patients who underwent cholecystectomy between January 2019 and July 2020 at Igdir State Hospital, Igdir, Turkey were identified retrospectively. The patients’ general characteristics were retrieved from their medical records. Patients who developed complications in the 30 days after surgery were considered the morbidity-positive group, and the patients without complications were considered the morbidity-negative group. The differences between the two groups were evaluated. Results: The study included 108 patients. The patients’ mean age was 46.44 years (range: 18‒83), and 85 (78.7%) were women. Male gender, age over 40 years, preoperative fever with the presence of haemangioma on ultrasonography (USG) and cystic canal closure using silk were associated with increased morbidity. Interestingly, umbilical hernia repair in the same surgery was associated with reduced morbidity. Conclusion: This study found that male gender, older age, and preoperative fever were associated with increased morbidity in cholecystectomy patients. Presence of preoperative haemangioma is a new parameter associated with increased morbidity. In addition, we recommend using silk sutures when closing the cystic duct during cholecystectomy and repairing the umbilical hernia, if present.
