Xanthogranulomatous cholecystitis in laparoscopic surgery |
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Authors: | Email author" target="_blank">Gilberto?Guzmán-ValdiviaEmail author |
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Institution: | (1) Department of General Surgery, Regional General Hospital, No. 1 “Gabriel Mancera,≓ Mexican Institute of Social Security, Mexico City, Mexico;(2) Amores 43 B-105, Col. Del Valle, 03100 Mexico City, CP, Mexico |
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Abstract: | Xanthogranulomatous cholecystitis (XGC) is one presentation of cholecystitis and can be a cause of difficulty in cholecystectomy.
We reviewed the clinical files of 12,426 patients who had undergone cholecystectomy. In this group, there were 182 cases of
XGC, and 41 of these patients had undergone laparoscopic surgery. Patients with XGC represented 1.46% of the cholecystectomies
that were performed. Of the 41 patients whounderwent laparoscopic surgery, 27 weremen (66%) and 14 were women (34%) (average
age, 52 years). A total of 36 patients (88%) presented with a chronic condition. XGC was found to be associated with lithiasis
in 85%, with jaundice in 22%, and with cancer in 2.4% (one patient). A total of 33 patients (80%) required conversion to open
surgery, because of technical difficulties; of these patients, 64% underwent partial cholecystectomy. We conclude that XGC
creates difficulty at laparoscopy and therefore any preoperative suspicion of XGC should cause the clinician to consider open
cholecystectomy. |
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Keywords: | Cholecystitis cholelithiasis chronic cholecystitis jaundice cholecystectomy |
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