The efficacy of laparoscopic cholecystectomy without discontinuation in patients on antithrombotic therapy

Jong Hyuk Yun; Hae Il Jung; Hyoung Uk Lee; Moo-Jun Baek; Sang Ho Bae

추천

검색

질문

자료유형: 학술저널

저자정보: Jong Hyuk Yun (Soonchunhyang University Cheonan Hospital) Hae Il Jung (Soonchunhyang University Cheonan Hospital) Hyoung Uk Lee (Soonchunhyang University Cheonan Hospital) Moo-Jun Baek (Soonchunhyang University Cheonan Hospital) Sang Ho Bae (Soonchunhyang University Cheonan Hospital)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.92 No.3

발행연도: 2017.3

수록면: 143 - 148 (6page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Purpose: Laparoscopic cholecystectomy (LC) is one of the most commonly performed surgeries in the world today. However, there is no consensus regarding whether LC can be performed in patients with acute cholecystitis while on antithrombotic therapy. The objective of our study was to describe postoperative outcomes of patients who underwent emergent LC without interruption to antithrombotic therapy.
Methods: We performed a retrospective review of patients who underwent LC for acute cholecystitis while on antithrombotic therapy from 2010 to 2015 at Soonchunhyang Universtiy Cheonan Hospital. Patients were divided into 2 groups as underwent emergent LC and elective LC.
Results: A total of 67 patients (emergent group, 22; elective group, 45) were included in the analysis. Elective group had significantly longer duration between the admission and operation (8 [7–10] days vs. 2 [1–3] days, P < 0.001) and longer duration of antithrombotic drugs discontinuation (7 days vs. 1 [0–3] days, P < 0.001). Emergent group had significantly more postoperative anemia (6 patients vs. 0 patient, P = 0.001) and 3 of 6 patients received packed RBC transfusion in postoperative period. However, there was no significant difference in length of postoperative stays, length of intensive care unit stays and mortality rates.
Conclusion: Emergent LC without interruption to antithrombotic therapy was relatively safe and useful. A well-designed multicenter study is needed to confirm the safety and efficacy of LC without suspension of antithrombotic therapy and to provide a simple guideline.

#Laparoscopic cholecystectomy #Acute cholecystitis #Antithrombotic therapy

참고문헌 (21)

참고문헌 신청

[학술지(정기간행물)] - Anderson K / 2014 / Should clopidogrel be discontinued before laparoscopic cholecystectomy? / Am J Surg 208 : 926 ~ 931

[학술지(정기간행물)] - Casillas RA / 2008 / Early laparoscopic cholecystectomy is the preferred management of acute cholecystitis / Arch Surg 143 : 533 ~ 537

[학술지(정기간행물)] - Kolla SB / 2004 / Early versus delayed laparoscopic cholecystectomy for acute cholecystitis : a prospective randomized trial / Surg Endosc 18 : 1323 ~ 1327

[학술지(정기간행물)] - Lau H / 2006 / Early versus delayed-interval laparoscopic cholecystectomy for acute cholecystitis : a metaanalysis / Surg Endosc 20 : 82 ~ 87

[학술지(정기간행물)] - Chassot PG / 2010 / Perioperative antiplatelet therapy / Am Fam Physician 82 : 1484 ~ 1489

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!