Academic Journal
Is cystic artery lymph node excision during laparoscopic cholecystectomy a marker of technique?
| العنوان: | Is cystic artery lymph node excision during laparoscopic cholecystectomy a marker of technique? |
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| المؤلفون: | Wysocki, Arkadiusz P, Murphy, Skyle, Ware, Robert S |
| بيانات النشر: | Wiley-Blackwell Publishing |
| سنة النشر: | 2018 |
| المجموعة: | Griffith University: Griffith Research Online |
| مصطلحات موضوعية: | Clinical sciences, Clinical sciences not elsewhere classified |
| الوصف: | Background: In order to minimize bile duct injury, experts suggest that dissection during laparoscopic cholecystectomy (LC) should be performed lateral to the lymph node (LN). This study aims to determine whether the frequency of excision of the LN is related to patient factors, disease severity or surgical difficulty. Methods: All LCs performed or supervised by one surgeon were identified from a prospective database. The presence of LN was retrospectively determined by reviewing the gallbladder histology report. Results: The LN was identified in 10.4% of 1332 cholecystectomies. The American Society of Anesthesiologists class 3 was associated with a lower rate of LN excision compared with class 1 (odds ratio: 0.36; P = 0.049) as was the presence of a senior surgical trainee (odds ratio: 0.18; P < 0.001). Rate of LN excision was independent of patient demographic and clinical characteristics, including indication for cholecystectomy, conversion to open, gallbladder perforation, cholangiography, bile duct exploration and overall surgical difficulty. Conclusions: The frequency with which the LN is excised during LC by the one surgeon is independent of the majority of clinical and surgical factors and may represent a surrogate marker of surgical technique. Whether this is related to the rate of bile duct injury remains to be determined. ; Griffith Health, School of Medicine ; Full Text |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1445-1433 |
| Relation: | ANZ Journal of Surgery; http://hdl.handle.net/10072/351560 |
| DOI: | 10.1111/ans.14087 |
| الاتاحة: | http://hdl.handle.net/10072/351560 https://doi.org/10.1111/ans.14087 |
| Rights: | © 2017 Royal Australasian College of Surgeons. This is the peer reviewed version of the following article: Is cystic artery lymph node excision during laparoscopic cholecystectomy a marker of technique?, ANZ Journal of Surgery, pp. 1-5, 2017, which has been published in final form at 10.1111/ans.14087. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html) ; open access |
| رقم الانضمام: | edsbas.D27F14FA |
| قاعدة البيانات: | BASE |
| تدمد: | 14451433 |
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| DOI: | 10.1111/ans.14087 |