Fundus-First Laparoscopic Cholecystectomy in Difficult Gallbladders: A Retrospective Cross-Sectional Study on a Safe Alternative to Avoid Conversion
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 124
- 试验地点
- 1
- 主要终点
- Conversion Rate to Open Surgery
研究概览
简要总结
This retrospective cross-sectional study evaluated the safety and effectiveness of the fundus-first laparoscopic cholecystectomy (FFLC) technique in patients with difficult gallbladders. A total of 124 patients who underwent FFLC between 2023 and 2024 were reviewed. The study assessed operative time, intraoperative complications, conversion rates, and postoperative outcomes. The results suggest that FFLC is a safe and feasible approach that can reduce the need for conversion to open surgery in complex cases. The study was conducted at a private hospital in Istanbul, Turkey
详细描述
This retrospective study was conducted at a private healthcare institution without a formal IRB. All patient data were anonymised before analysis, and written informed consent was obtained from all patients for the academic use of their clinical data
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients who underwent laparoscopic cholecystectomy at the study center between January 2023 and March 2024
- •Patients diagnosed with difficult gallbladder (Nassar Grade 3-4)
- •Age ≥ 18 years
- •Complete clinical data available for analysis
排除标准
- •Patients with incomplete medical records
- •Patients undergoing open cholecystectomy from the beginning
- •Patients under 18 years of age
结局指标
主要结局
Conversion Rate to Open Surgery
时间窗: Intraoperative (during surgery)
Rate of conversion from laparoscopic to open cholecystectomy in each group. Measured as number and percentage of patients converted.
次要结局
- Operative Time(Intraoperative (during surgery))
- Postoperative Complication Rate(Within 30 days postoperatively)
- Length of Hospital Stay(Postoperative hospitalization)
研究者
KANAN ISMAYILZADA, MD
General Surgeon
Medicana Ataşehir International Hospital