지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.99 No.4
- 발행연도
- 2020.10
- 수록면
- 221 - 229 (9page)
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초록· 키워드
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Purpose: We evaluated the impact of preoperative magnetic resonance cholangiopancreatography (MRCP) on patient outcomes, and found which patients should be considered for MRCP before cholecystectomy.
Methods: We performed retrospective analysis of 2,072 patients that underwent cholecystectomy for benign gallbladder disease from January 2014 to June 2017. Patients were grouped as CT only group (n = 737) and MRCP group (n = 1,335), including both CT and MRCP (n = 1,292) or MRCP only (n = 43). The main outcome measure was associated with complications after cholecystectomy, and the secondary outcomes were hospital stay, readmission, and events that could impact patient management due to addition of MRCP.
Results: There were no statistical differences in occurrence of intraoperative or postoperative complications or readmission rate between the 2 groups. Hospital stay was about 0.6 days longer in the MRCP group. However, MRCP group was more susceptible to complications due to underlying patient demographics (older age, higher frequency of diabetes, and higher level of the inflammatory markers). MRCP diagnosed common bile duct (CBD) stones in 6.5% of patients (84/1,292) without CBD stones in CT, and bile duct anomalies were identified in 41 patients (3.2%). Elevated γ-GT was the only independent factor for additional detection of CBD stones (adjusted odds ratio [OR], 2.89; P = 0.029) and subsequent biliary procedures (adjusted OR, 3.34; P = 0.018) when additional MRCP was performed.
Conclusion: MRCP is valuable for identification of bile duct variation and CBD stones. Preoperative MRCP can be considered, particularly in patients with elevated γ-GT, for proper preoperative management and avoidance of complications.
Methods: We performed retrospective analysis of 2,072 patients that underwent cholecystectomy for benign gallbladder disease from January 2014 to June 2017. Patients were grouped as CT only group (n = 737) and MRCP group (n = 1,335), including both CT and MRCP (n = 1,292) or MRCP only (n = 43). The main outcome measure was associated with complications after cholecystectomy, and the secondary outcomes were hospital stay, readmission, and events that could impact patient management due to addition of MRCP.
Results: There were no statistical differences in occurrence of intraoperative or postoperative complications or readmission rate between the 2 groups. Hospital stay was about 0.6 days longer in the MRCP group. However, MRCP group was more susceptible to complications due to underlying patient demographics (older age, higher frequency of diabetes, and higher level of the inflammatory markers). MRCP diagnosed common bile duct (CBD) stones in 6.5% of patients (84/1,292) without CBD stones in CT, and bile duct anomalies were identified in 41 patients (3.2%). Elevated γ-GT was the only independent factor for additional detection of CBD stones (adjusted odds ratio [OR], 2.89; P = 0.029) and subsequent biliary procedures (adjusted OR, 3.34; P = 0.018) when additional MRCP was performed.
Conclusion: MRCP is valuable for identification of bile duct variation and CBD stones. Preoperative MRCP can be considered, particularly in patients with elevated γ-GT, for proper preoperative management and avoidance of complications.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (29)
참고문헌 신청
Everhart JE / 2009 / Burden of digestive diseases in the United States Part III : liver, biliary tract, and pancreas / Gastroenterology 136:1134~1144
Russo MW / 2004 / Digestive and liver diseases statistics, 2004 / Gastroenterology 126:1448~1453
Ryoo I / 2012 / Preoperative assessment of longitudinal extent of bile duct cancers using MDCT with mult iplanar reconst ruction and minimum intensity projections : comparison with MR cholangiography / Eur J Radiol 81:2020~2026
Denecke T / 2006 / Minimum intensity projections of the biliary system using 16-channel multidetector computed tomography in patients with biliary obstruction : comparison with MRCP / Eur Radiol 16:1719~1726
Gri ffin N / 2003 / Magnetic resonance cholangiopancreatography versus endoscopic retrograde cholangiopancreatography in the diagnosis of choledocholithiasis / Eur J Gastroenterol Hepatol 15:809~813
Russo MW / 2004 / Digestive and liver diseases statistics, 2004 / Gastroenterology 126:1448~1453
Ryoo I / 2012 / Preoperative assessment of longitudinal extent of bile duct cancers using MDCT with mult iplanar reconst ruction and minimum intensity projections : comparison with MR cholangiography / Eur J Radiol 81:2020~2026
Denecke T / 2006 / Minimum intensity projections of the biliary system using 16-channel multidetector computed tomography in patients with biliary obstruction : comparison with MRCP / Eur Radiol 16:1719~1726
Gri ffin N / 2003 / Magnetic resonance cholangiopancreatography versus endoscopic retrograde cholangiopancreatography in the diagnosis of choledocholithiasis / Eur J Gastroenterol Hepatol 15:809~813
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UCI(KEPA) : I410-ECN-0101-2020-514-001293260