Xanthogranulomatous cholecystitis: A 14‐year experience

Abstract

AimXanthogranulomatous cholecystitis (XGC) is a rare disease. The present study was conducted to evaluate the results of both open cholecystectomy (OC) and laparoscopic cholecystectomy (LC), in patients with XGC.Patients and MethodsA retrospective study was performed including 4228 patients who underwent an OC or LC between January 2003 and November 2017. Sixty‐three patients with XGC were identified, and their clinical and operative details were analysed.ResultsThe incidence of XGC was 1.49 per cent. The mean age of the patients was 65.8 years, and 57 per cent were male. The most common clinical presentation was acute cholecystitis (44.4 per cent). Forty‐five patients (71.4 per cent) underwent an LC, with a conversion rate of 40 per cent. The mean operative times were 127.2 min for OC, 82.2 min for LC and 141.6 min for LC to OC conversion (LOC). The mean operative time was significantly longer for OC compared with LC (P = 0.02). Fifteen patients (23.8 per cent) had some postoperative complications, of which the most frequent was incisional surgical site infection (6.34 per cent). Two patients died (3.2 per cent). The mean postoperative stay was 5.07 days for LC and 11.77 days for OC (P = 0.005).ConclusionsXGC is a rare disease associated with prolonged surgical times, high morbidity and a high LOC rate.