作者
Robert P Sutcliffe, Marianne Hollyman, James Hodson, Glenn Bonney, Ravi S Vohra, Ewen A Griffiths, Stephen Fenwick, Mohamed Elmasry, Quentin Nunes, David Kennedy, Raja B Khan, Muhammad AS Khan, Conor J Magee, Steven M Jones, Denise Mason, Ciny P Parappally, Pawan Mathur, Michael Saunders, Sara Jamel, Samer Ul Haque, Sara Zafar, Muhammad H Shiwani, Nehemiah Samuel, Farooq Dar, Andrew Jackson, Bryony Lovett, Shiva Dindyal, Hannah Winter, Saquib Rahman, Kevin Wheatley, Tom Nieto, Soofiyah Ayaani, Haney Youssef, Rajwinder S Nijjar, Helen Watkin, David Naumann, Sophie Emeshi, Piyush B Sarmah, Kathryn Lee, Nikita Joji, Jonathan Heath, Rebecca L Teasdale, Chamindri Weerasinghe, Paul J Needham, Hannah Welbourn, Luke Forster, David Finch, Jane M Blazeby, William Robb, Angus GK McNair, Alex Hrycaiczuk, Alexandros Charalabopoulos, Sritharan Kadirkamanathan, Cheuk-Bong Tang, Naga VG Jayanthi, Nigel Noor, Brian Dobbins, Andrew J Cockbain, April Nilsen-Nunn, Jonathan de Siqueira, Mike Pellen, Jonathan B Cowley, Wei-Min Ho, Victor Miu, Timothy J White, Kathryn A Hodgkins, Alison Kinghorn, Matthew G Tutton, Yahya A Al-Abed, Donald Menzies, Anwar Ahmad, Joanna Reed, Shabuddin Khan, David Monk, Louis J Vitone, Ghulam Murtaza, Abraham Joel, Stephen Brennan, David Shier, Catherine Zhang, Thusidaran Yoganathan, Steven J Robinson, Iain JD McCallum, Michael J Jones, Mohammed Elsayed, Liz Tuck, John Wayman, Kate Carney, Somaiah Aroori, Kenneth B Hosie, Adam Kimble, David M Bunting, Adeshina S Fawole, Mohammed Basheer, Rajiv V Dave, Janahan Sarveswaran, Elinor Jones, Chris Kendal, Michael P Tilston, Martin Gough, Tom Wallace, Shailendra Singh, Justine Downing, Katherine A Mockford, Eyad Issa, Nayab Shah, Neal Chauhan, Timothy R Wilson, Amir Forouzanfar, Jonathan RL Wild, Emma Nofal, Catherine Bunnell, Khaliel Madbak, Sudhindra TV Rao, Laurence Devoto, Najaf Siddiqi, Zechan Khawaja, James C Hewes, Laura Gould, Alice Chambers, Daniel U Rodriguez, Gourab Sen, Stuart Robinson, Francis Bartlett, David M Rae, Thomas EJ Stevenson, Kas Sarvananthan, Simon J Dwerryhouse, Simon M Higgs, Oliver J Old, Thomas J Hardy, Reena Shah, Steve T Hornby, Ken Keogh, Lucinda Frank, Musallam Al-Akash, Emma A Upchurch, Richard J Frame, Michael Hughes, Clare Jelley, Simon Weaver, Sudipta Roy, Toritseju O Sillo, Giorgios Galanopoulos, Tamzin Cuming, Pedro Cunha, Salim Tayeh, Sarantos Kaptanis, Mohamed Heshaishi, Abdalla Eisawi
发表日期
2016/11/1
期刊
Hpb
卷号
18
期号
11
页码范围
922-928
出版商
Elsevier
简介
Background
Laparoscopic cholecystectomy is commonly performed, and several factors increase the risk of open conversion, prolonging operating time and hospital stay. Preoperative stratification would improve consent, scheduling and identify appropriate training cases. The aim of this study was to develop a validated risk score for conversion for use in clinical practice.
Patients and methods
Preoperative patient and disease-related variables were identified from a prospective cholecystectomy database (CholeS) of 8820 patients, divided into main and validation sets. Preoperative predictors of conversion were identified by multivariable binary logistic regression. A risk score was developed and validated using a forward stepwise approach.
Results
Some 297 procedures (3.4%) were converted. The risk score was derived from six significant predictors: age (p = 0.005), sex (p < 0.001), indication for surgery (p < 0.001 …
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