29,99 €
inkl. MwSt.
Versandkostenfrei*
Versandfertig in 6-10 Tagen
payback
15 °P sammeln
  • Broschiertes Buch

We carried out a retrospective study analyzing the cases of 107 patients with acute pancreatitis of biliary origin who underwent cholecystectomy with OPC. VBP vacuity accounted for 80.4% of cases. Univariate analysis revealed 6 independent factors for the presence of LVBP: total bilirubin level, conjugated bilirubin level, VBP dilatation on ultrasound, VBP dilatation on CT, stage of pancreatitis and cystic duct dilatation intraoperatively. Multivariate analysis enabled us to retain only 2: total bilirubin level and dilatation of the VBP on ultrasound. This rate was set at 34.5 by studying the…mehr

Produktbeschreibung
We carried out a retrospective study analyzing the cases of 107 patients with acute pancreatitis of biliary origin who underwent cholecystectomy with OPC. VBP vacuity accounted for 80.4% of cases. Univariate analysis revealed 6 independent factors for the presence of LVBP: total bilirubin level, conjugated bilirubin level, VBP dilatation on ultrasound, VBP dilatation on CT, stage of pancreatitis and cystic duct dilatation intraoperatively. Multivariate analysis enabled us to retain only 2: total bilirubin level and dilatation of the VBP on ultrasound. This rate was set at 34.5 by studying the ROC curve.we established a mathematical translation of these 2 factors in the form of a simple score in order to test our results.S = E + 0.03 BTE = 1 if dilatation of the VBP on ultrasound. E = 0 if no dilatation of the VBP. BT = total bilirubin level in mmol/l.A score greater than or equal to 1 would indicate the need for intraoperative cholangiography during cholecystectomy.
Autorenporträt
Sahir Omrani maître de conférence agrégée en chirurgie générale, au service de chirurgie générale et transplantation hépatique de l'hôpital Mongi Slim LaMarsa et à la faculté de médecine de Tunis.