Özet:

Xanthogranulomatous cholecystitis (XGC) is a rare form of cholecystitis characterized by extensive fibrosis. Although laparoscopic cholecystectomy (LC) is difficult due to its confusion with malignancy and adhesion to the surrounding tissues, it is the gold standard treatment method. Within the scope of the current study, it was aimed to evaluate the results of patients who underwent cholecystectomy with the diagnosis of XGC by a single center. 96 patients who underwent cholecystectomy for XGC between 2008 and 2022 by a single center were included in the study. Demographic data of the patients, preoperative diagnosis, imaging findings, biliary drainage requirement, acute pancreatitis findings (with radiological+biochemical), intraoperative findings, rates of conversion to open surgery, postoperative complications, and length of hospital stay were retrospectively analyzed. Of the patients, 68 (70.8%) were male and 28 (29.2%) were female. The mean age of the patients was 60.4 ± 13.3 (22-86). The most common reason for admission was abdominal pain (65.6%). Percutaneous and/or endoscopic biliary drainage methods were applied to 24 (25%) patients in the preoperative period. All patients were operated with the laparoscopic technique, and open cholecystectomy was performed in 59 (61.4%) of them. While the mean hospital stay of the patients was 8.75 ± 7.1, 1 (1%) patient had postoperative pneumonia and mortality after sepsis. XGC is important because it can be confused with malignancy radiologically, clinically and surgically. Frozen evaluation should be performed in suspicious cases. Although high conversion rates are known, laparoscopic cholecystectomy is still known as the gold standard treatment method.

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