ROLE OF COMPLETE BLOOD COUNTS PARAMETERS IN DIAGNOSIS OF ACUTE CHOLECYSTITIS

AYETULLAH TEMIZI¹, YILMAZ ÖZDEMIR¹, ADEM ASLAN¹, MUSTAFA TANER BOSTANCI², GÜSEN ATASOY¹, MEHMET ALI ÇAPARLAR², YAVUZ ALBAYRAK¹

¹Department of General Surgery, Erzurum Area Training and Research Hospital, Erzurum, Turkey - ²Department of General Surgery, Dişkapi Yildirim Beyazit Area Training and Research Hospital, Ankara, Turkey

Introduction: The aim of this study is to determine the effectiveness of complete blood count parameters in the diagnosis of acute cholecystitis.

Materials and methods: 58 patients diagnosed with acute cholecystitis and 60 patients underwent surgery elective cholecy- stectomy have been included retrospectively this to case-control study. Groups compared according to age, gender, white blood cell count, mean platelet volume, platelet count, red blood cell distribution width, neutrophil / lymphocyte ratio and platelet / lymphocyte ratio.

Results: Any significative difference hasn’t been detected between the two groups in terms of age (p = 0.144; p> 0.05). In the control group, more male patients have been observed than acute cholecystitis group (p <0.05). Red blood cell distribution width, neutrophil / lymphocyte ratio, platelet / lymphocyte ratio values and leukocyte levels of the patients in the study group have been observed significantly higher than the control group (p <0.05). The parameter with the highest sensitivity and specificity was found as NLR.

Conclusion: The highest sensitivity and specificity parameter is neutrofil- leukocyte ratio. We suggest that neutrophil / lymphocyte ratio aids in the diagnosis of acute cholecystitis since neutrofil-leukocyte ratio is cheap, ease of use and rapid assessment method.