Does surgical difficulty relate to severity of acute cholecystitis? Validation of the parkland grading scale based on intraoperative findings

The Parkland grading scale (PGS) was assessed to validate its correlation to severity of acute cholecystitis (AC). This study investigated the correlation between the PGS and Tokyo guidelines (TG) using multinomial logistic regression analysis in 177 patients with AC. High PGS grades were related to...

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Bibliographic Details
Published in:The American journal of surgery 2020-04, Vol.219 (4), p.637-641
Main Authors: Lee, Woohyung, Jang, Jae Yool, Cho, Jin-Kyu, Hong, Soon-Chan, Jeong, Chi-Young
Format: Article
Language:English
Subjects:
Acute cholecystitis
Bile
C-reactive protein
C-Reactive Protein - analysis
Cholecystectomy
Cholecystectomy, Laparoscopic
Cholecystitis
Cholecystitis, Acute - surgery
Confidence intervals
Correlation analysis
Endoscopy
Female
Gallbladder
Gallbladder - pathology
Gallbladder diseases
Gangrene
Humans
Intraoperative finding
Intraoperative Period
Laparoscopy
Male
Middle Aged
Operative Time
Parkland classification
Patients
Postoperative Complications
Regression analysis
Severity of Illness Index
Statistical analysis
Studies
Surgeons
Surgery
Tokyo guidelines
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Summary:The Parkland grading scale (PGS) was assessed to validate its correlation to severity of acute cholecystitis (AC). This study investigated the correlation between the PGS and Tokyo guidelines (TG) using multinomial logistic regression analysis in 177 patients with AC. High PGS grades were related to higher C-reactive protein (p 
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2018.12.005