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Logo of bmcgastBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Gastroenterology
 
BMC Gastroenterol. 2012; 12: 113.
Published online Aug 21, 2012. doi:  10.1186/1471-230X-12-113
PMCID: PMC3462142
Cholecystomucoclasis: revaluation of safety and validity in aged populations
Tomoya Tsukada,corresponding author1,2 Tatsuo Nakano,2 Takashi Miyata,2 Shozo Sasaki,2 and Tetsuo Ohta1
1Department of Gastroenterological Surgery, Division of Cancer Medicine, Graduate School of Medical Science, Kanazawa University, 3-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan
2Department of Surgery, Asanogawa General Hospital, Kanazawa, Ishikawa, 920-8621, Japan
corresponding authorCorresponding author.
Tomoya Tsukada: tkd_tmy/at/nifty.com; Tatsuo Nakano: nakano/at/asanogawa-gh.or.jp; Takashi Miyata: ryutami5383917/at/gmail.com; Shozo Sasaki: syozossjp/at/yahoo.co.jp; Tetsuo Ohta: ohtat/at/staff.kanazawa-u.ac.jp
Received February 26, 2012; Accepted August 13, 2012.
Abstract
Background
We evaluated the safety and validity of cholecystomucoclasis (CM) and compared its intraoperative characteristics with those of standard cholecystectomy (SC).
Methods
We enrolled 174 patients who underwent cholecystectomy and retrospectively evaluated the outcomes of patients in the SC and CM groups.
Results
Significant differences in age (71.1 vs. 61.9 years), American Society of Anesthesiologists physical status (ASA-PS), and serum C-reactive protein levels (CRP) (18.1 vs. 4.7 mg/dL) were observed between the CM and SC groups. Conversely, no significant differences were observed in the operation time (129 vs. 108 min), amount of blood loss (147 vs. 80 mL), intraoperative complications (0% vs. 5.7%), or duration of hospital stay (13.2 vs. 8.9 days) between the 2 groups. A high conversion rate (35.3%), postoperative complications (33%), and frequent drain insertions (94%) were observed in the CM group.
Conclusions
CM is a safe and valid surgical procedure and surgeons should not hesitate to transition to CM for patients who are of advanced age, in poor general condition (high ASA classification), or have high levels of serum CRP.
Keywords: Cholecystitis, Cholecystomucoclasis, Deroofing, Subtotal cholecystectomy
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