PRE-OPERATIVE ULTRASONOGRAPHIC AND INTRA-OPERATIVE LAPAROSCOPIC FINDINGS IN GALLSTONE DISEASE.

Abstract

Background: Ultrasonography remains the most powerful investigation till now to detect cholelithiasis because of a high sensitivity and practically no side effects involved. Method: This prospective study comprised of 100 patients reporting to the out -patient department of the Department of Surgery of Government Medical College, Kathua between January 2022 to May 2022. These patients were diagnosed with cholelithiasis using USG and underwent surgery for the same. The USG ndings were compared to the intraoperative ndings and conclusions were drawn. The informed consent for the use of their data for the study was taken. The aim of the study was to nd the correlation between the ultrasonographic ndings and the intra-operative nds in cholelithiasis. Results: Ultrasound was shown having a positive predictive value of 94% for detecting cholelithiasis and the sensitivity of the USG for various characteristics was found to be 7.69%, 79.31% and 62.79% for predicting hydrops, wall thickness and acute cholecystitis respectively. Conclusion: The study concluded that ultrasonography is one of the best investigations to detect the presence and absence of the stones, with being a fairly reliant investigation to measure the wall thickness and advanced stages of acute cholecystitis but being a poor investigation for detecting hydrops.