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Clinical Outcomes of Elective Laparoscopic Cholecystectomy

Retrospective Comparative Study Between Patients With and Without Xanthogranulomatous Cholecystitis

Domínguez-Comesaña, Elias, MD, PhD; Tojo-Artos, Iria, MD; Domínguez-Fernández, Rubén, MD; Tojo-Ramallo, Sergio, MD; Rial-Durán, Agata, MD; Estévez-Fernández, Sergio M., MD, PhD

Surgical Laparoscopy Endoscopy & Percutaneous Techniques: June 2019 - Volume 29 - Issue 3 - p 212–215
doi: 10.1097/SLE.0000000000000608
Original Articles

Aim: The aim of this study was to evaluate the results of laparoscopic cholecystectomy (LC) in patients with xanthogranulomatous cholecystitis (XGC) compared with patients without XGC.

Methods: A retrospective study was performed including patients who had undergone elective LC between January 2003 and November 2017. Results of patients with XGC (25) were compared with those of patients without XGC (2181) with respect to operative time, conversion rate, drain use, postoperative complications, and postoperative stay.

Results: The mean operative times in patients with and without XGC were 112.8 and 66.3 minutes, respectively (P=0.001). The conversion rate was 36% in patients with XGC and 3.89% in patients without XGC (P=0.001). Drains were used in 76% of patients with XGC and in 24% of patients without XGC (P=0.001). Postoperative complication rate was 16% and 9.9% in patients with and without XGC, respectively (P=0.309). Mean postoperative stays in patients with and without XGC were 4.3 and 2.3 days, respectively (P=0.001).

Conclusions: LC in patients with XGC is associated with significantly longer operative time, higher conversion rate, greater drain use, and longer postoperative stay compared with patients without XGC.

Department of Surgery, University Hospital of Pontevedra, Pontevedra, Spain

The authors declare no conflicts of interest.

Reprints: Elias Dominguez-Comesaña, MD, PhD, C/DR. Loureiro Crespo 57 2ºB, 36004 Pontevedra, Spain (e-mail:

Received February 28, 2018

Accepted October 8, 2018

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