Validation of TG13 severity grading in acute cholecystitis: Japan-Taiwan collaborative study for acute cholecystitis
Journal
Journal of Hepato-Biliary-Pancreatic Sciences
Journal Volume
24
Journal Issue
6
Pages
338-345
Date Issued
2017
Author(s)
Yokoe M.
Takada T.
Hwang T.-L.
Endo I.
Akazawa K.
Miura F.
Mayumi T.
Mori R.
Chen M.-F.
Jan Y.-Y.
Ker C.-G.
Itoi T.
Gomi H.
Kiriyama S.
Wada K.
Yamaue H.
Miyazaki M.
Yamamoto M.
Abstract
Background: The collaborative multicenter retrospective study of acute cholecystitis (AC) was performed in Japan and Taiwan. The aim for this study was evaluation of the clinical value of TG13 severity grading for AC. Method: The study was designed as an international multicenter retrospective study of AC from 2011 to 2013. Based on the data, we investigated the TG13 severity grading by analyzing the correlations between grade and prognosis, surgical procedures, histopathology, and organ dysfunction and prognosis. Results: An investigation revealed that 30-day overall mortality rate was 1.1% for Grade I, 0.8% for Grade II, 5.4% for Grade III. The mortality rate for Grade III was significantly higher than lower grades (P?
Subjects
Acute; Cholecystectomy; Cholecystitis; Guidelines; Laparoscopic; Multicenter study; Severity of Illness Index
SDGs
Other Subjects
acute cholecystitis; adult; aged; Article; bile duct injury; controlled study; conversion to open surgery; disease classification; gallbladder perforation; histopathology; human; instrument validation; Japan; laparoscopic cholecystectomy; major clinical study; mortality rate; observational study; open surgery; prognosis; retrospective study; surgical technique; Taiwan; Tokyo Guidelines 2013 criteria; acute cholecystitis; clinical trial; cohort analysis; female; international cooperation; male; middle aged; multicenter study; pathophysiology; postoperative complication; procedures; risk assessment; severity of illness index; survival rate; treatment outcome; validation study; Aged; Cholecystectomy, Laparoscopic; Cholecystitis, Acute; Cohort Studies; Female; Humans; Internationality; Japan; Male; Middle Aged; Postoperative Complications; Retrospective Studies; Risk Assessment; Severity of Illness Index; Survival Rate; Taiwan; Treatment Outcome
Publisher
Blackwell Publishing Asia
Type
journal article