2023, Number 2
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Acta Med 2023; 21 (2)
Comparison of the Tokyo criteria and Parkland classification for predicting complications in a cohort of patients undergoing laparoscopic cholecystectomy at Hospital Angeles Pedregal
Romano BLA, Hernández AF, Rojas JE
Language: Spanish
References: 14
Page: 128-133
PDF size: 218.95 Kb.
ABSTRACT
Introduction: acute cholecystitis has a higher risk of developing complications and a prolonged hospital stay in those cases evaluated with greater severity.
Objective: to compare the Tokyo criteria and the Parkland scale in patients with acute cholecystitis who underwent cholecystectomy by laparoscopy to identify the relationship between both scales and the risk of postoperative complications and increase in surgical time and hospital stay.
Material and methods: a retrospective and descriptive study collected information from the electronic record of 383 patients who underwent laparoscopic cholecystectomy for acute cholecystitis from January 2021 to January 2022 at the Hospital Angeles Pedregal. Hospital stay time, surgical time, degree of severity by Tokyo, Parkland classification in transoperative, and complications were retrieved.
Results: surgical time and days of hospital stay are directly proportional to the severity scale of both scales.
Conclusion: both the Tokyo classification and the Parkland scale function as a good predictors of complications in patients with the highest severity in both scales, also reflected in an increase in surgical time and hospital stay.
REFERENCES
Thangavelu A, Rosenbaum S, Thangavelu D. Timing of cholecystectomy in acute cholecystitis. J Emerg Med. 2018; 54 (6): 892-897.
González RV, Marenco CCA, Chávez GA, González DS, Montalvo JE. Colecistectomía laparoscópica: resultados de la experiencia del Hospital General de México a nueve años de implementada. Rev Mex Cir Endoscop. 2002; 3 (2): 71-73.
Gallaher JR, Charles A. Acute cholecystitis: a review. JAMA. 2022; 327 (10):965-975.
Takada T, Strasberg SM, Solomkin JS, Pitt HA, Gomi H, Yoshida M et al. TG13: Updated Tokyo Guidelines for the management of acute cholangitis and cholecystitis. J Hepatobiliary Pancreat Sci. 2013; 20 (1): 1-7.
Yokoe M, Takada T, Strasberg SM, Solomkin JS, Mayumi T, Gomi H et al. TG13 diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci. 2013; 20 (1): 35-46.
Agrawal N, Singh S, Khichy S. Preoperative prediction of difficult laparoscopic cholecystectomy: a scoring method. Niger J Surg. 2015; 21 (2): 130-133.
Madni TD, Nakonezny PA, Barrios E, Imran JB, Clark AT, Taveras L et al. Prospective validation of the Parkland Grading Scale for Cholecystitis. Am J Surg. 2019; 217 (1): 90-97.
Madni TD, Leshikar DE, Minshall CT, Nakonezny PA, Cornelius CC, Imran JB et al. The Parkland grading scale for cholecystitis. Am J Surg. 2018; 215 (4): 625-630.
Inukai K. Predictive factors for a long postoperative stay after emergency laparoscopic cholecystectomy using the 2013 Tokyo guidelines: a retrospective study. Minim Invasive Surg. 2019; 2019: 3942584.
Lee W, Jang JY, Cho JK, Hong SC, Jeong CY. Does surgical difficulty relate to severity of acute cholecystitis? Validation of the parkland grading scale based on intraoperative findings. Am J Surg. 2020; 219 (4): 637-641.
Hayasaki A, Takahashi K, Fujii T, Kumamoto K, Fujii K, Matsumoto E et al. Factor analysis influencing postoperative hospital stay and medical costs for patients with definite, suspected, or unmatched diagnosis of acute cholecystitis according to the Tokyo guidelines 2013. Gastroenterol Res Pract. 2016; 2016: 7675953.
Paul Wright G, Stilwell K, Johnson J, Hefty MT, Chung MH. Predicting length of stay and conversion to open cholecystectomy for acute cholecystitis using the 2013 Tokyo Guidelines in a US population. J Hepatobiliary Pancreat Sci. 2015; 22 (11): 795-801.
Zipple M, Slama E, Wilkie J, Kieninger A, Robinson R. Factors influencing length of stay in cholecystectomy patients in a community hospital. Spartan Med Res J. 2017; 2 (2): 6346.
Damani AA, Haider S, Bilal H, Perveen S. Comparison of operative time and length of hospital stay in laparoscopic cholecystectomy in acute verses chronic cholecystitis. J Ayub Med Coll Abbottabad. 2015; 27 (1): 102-104.