The effect of morphometric and anatomic relationship of gallbladder to the liver on standard laparoscopic cholecystectomies and proposal of a new anatomical classification

dc.contributor.authorDuman, Uğur
dc.contributor.authorErol, F.
dc.contributor.authorDilektaşlı, Evren
dc.contributor.authorDoğan, Gözde
dc.contributor.authorDandin, Özgür
dc.contributor.buuauthorTihan, Deniz Necdet
dc.contributor.buuauthorKafa, İlker Mustafa
dc.contributor.buuauthorCan, Fatma Ezgi
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Anatomi Anabilim Dalı.tr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Biyoistatistik Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0001-8309-0934tr_TR
dc.contributor.researcheridAAG-7125-2021tr_TR
dc.contributor.scopusid14058991800tr_TR
dc.contributor.scopusid8450193200tr_TR
dc.contributor.scopusid56689608500tr_TR
dc.date.accessioned2023-06-07T06:39:47Z
dc.date.available2023-06-07T06:39:47Z
dc.date.issued2016-04
dc.description.abstractOBJECTIVE: Anatomical variations of the extrahepatic biliary tree are frequently seen and may cause challenging conditions for surgeons. We aimed to investigate the morphological variations of the gall-bladder in patients who underwent cholecystectomy and their effects during and after the surgery, by using a new anatomical classification. PATIENTS AND METHODS: Dissection time, perioperative bleeding, perioperative/postoperative complication rates, the difference between preoperative/postoperative hematocrit and leukocyte levels of 164 symptomatic cholelithiasis patients who underwent laparoscopic cholecystectomy were evaluated. The patients' gallbladders were categorized in "seven" different types regarding their anatomical positions and morphometric relations with the liver's acute margin and fossa of the gallbladder. Relations between these gallbladders types and perioperative/postoperative parameters were also examined. RESULTS: The median time to complete the dissection of the gallbladder from the fossa was 375.5 seconds. The mean length of the fossa was 68.06 +/- 15.08 mm, the average size of the gallbladder was 92.10 +/- 18.79 mm. A positive correlation was found between dissection time and length of fossa vesica and also in the size of the gallbladder (p = 0.003, p = 0.034). Moreover, a positive correlation was found between the dissection time and the perioperative perforation risk of the gallbladder (p = 0.005). The most common type of gallbladder was type I and III (23.2%). The least common gallbladder type among the patients assessed as part of the study was type VI (6.7%). When the gallbladder types were compared, the perioperative perforation rate of the gallbladder wall was found to be significantly higher in morphological type V (p = 0.014). CONCLUSIONS: The perioperative perforation rate of the gallbladder wall was found significantly higher in morphological type V. To perform a safe cholecystectomy, surgeons should be aware of anatomical variations of the gallbladder and its relations with the liver parenchyma, which are important for surgical strategies.en_US
dc.identifier.citationTihan, D. vd. (2016). "The effect of morphometric and anatomic relationship of gallbladder to the liver on standard laparoscopic cholecystectomies and proposal of a new anatomical classification". European Review for Medical and Pharmacological Sciences, 20(8), 1458-1466.en_US
dc.identifier.endpage1466tr_TR
dc.identifier.issn1128-3602
dc.identifier.issue8tr_TR
dc.identifier.pubmed27160115tr_TR
dc.identifier.scopus2-s2.0-85017120806tr_TR
dc.identifier.startpage1458tr_TR
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/27160115/
dc.identifier.urihttp://hdl.handle.net/11452/32944
dc.identifier.volume20tr_TR
dc.identifier.wos000380260000005tr_TR
dc.indexed.pubmedPubMeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherVerduci Publisheren_US
dc.relation.collaborationSanayitr_TR
dc.relation.journalEuropean Review for Medical and Pharmacological Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPharmacology & pharmacyen_US
dc.subjectGallbladderen_US
dc.subjectLiveren_US
dc.subjectAnatomical variationsen_US
dc.subjectCholelithiasisen_US
dc.subjectCholecystectomyen_US
dc.subjectClassificationen_US
dc.subjectCholelithiasisen_US
dc.subjectMorphologyen_US
dc.subjectTorsionen_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeAgeden_US
dc.subject.emtreeAnatomical variationen_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeCholelithiasisen_US
dc.subject.emtreeClinical evaluationen_US
dc.subject.emtreeDissectionen_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeGallbladderen_US
dc.subject.emtreeHematocriten_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeLaparoscopic cholecystectomyen_US
dc.subject.emtreeLeukocyte counten_US
dc.subject.emtreeLiveren_US
dc.subject.emtreeMajor clinical studyen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeMorphometryen_US
dc.subject.emtreePerioperative bleedingen_US
dc.subject.emtreePeroperative complicationen_US
dc.subject.emtreePostoperative complicationen_US
dc.subject.emtreeSex differenceen_US
dc.subject.emtreeSurgical anatomyen_US
dc.subject.emtreeAdverse effectsen_US
dc.subject.emtreeCholecystectomyen_US
dc.subject.emtreeCholelithiasisen_US
dc.subject.emtreeInjuriesen_US
dc.subject.emtreeLaparoscopic cholecystectomyen_US
dc.subject.emtreeLiveren_US
dc.subject.emtreeSurgeryen_US
dc.subject.meshCholecystectomyen_US
dc.subject.meshCholecystectomy, laparoscopicen_US
dc.subject.meshCholelithiasisen_US
dc.subject.meshGallbladderen_US
dc.subject.meshHumansen_US
dc.subject.meshLiveren_US
dc.subject.scopusDuplication; Magnetic Resonance Cholangiopancreatography; Cystic Ducten_US
dc.subject.wosPharmacology & pharmacyen_US
dc.titleThe effect of morphometric and anatomic relationship of gallbladder to the liver on standard laparoscopic cholecystectomies and proposal of a new anatomical classificationen_US
dc.typeArticle
dc.wos.quartileQ3en_US

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