학술논문

急性胆囊炎に対する緊急手術後合併症の予測因子の検討 / Factors Predicting Complications of Acute Cholecystitis after Emergency Surgery
Document Type
Journal Article
Source
日本腹部救急医学会雑誌 / Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine). 2016, 36(4):699
Subject
予測因子
合併症
急性胆囊炎
緊急手術
Language
Japanese
ISSN
1340-2242
1882-4781
Abstract
We attempted to identify factors that could predict the development of complications after emergency surgery in patients with acute cholecystitis. The medical records of 134 patients with acute cholecystitis who had undergone emergency surgery at our hospital between January 2010 and May 2014 were retrospectively reviewed. In all, 30 patients with complications were included in group A and 104 patients without complications were included in group B. The average length of hospital stay was 27.0 days in group A and 10.3 days in group B (P<0.001). After performing a univariate analysis, a multivariate analysis was performed, which identified age ≥70 years (P=0.017), a past history of liver cirrhosis (P=0.031) and laparotomy (P=0.012) were independent risk factors for the development of postoperative complications. In patients ≥70 years of age, those with a past history of liver cirrhosis, and those with a history of having undergone laparotomy, it is particularly necessary to pay attention to the possible development of complications after emergency surgery for acute cholecystitis.