STUDY OF FACTORS RESPONSIBLE FOR DIFFICULT LAPAROSCOPIC CHOLECYSTECTOMY

Author:

Dagla Rajan1,Bansal Neelesh2,Singh Sandeep3

Affiliation:

1. Associate Professor, MBBS MS MCH (Pediatric surgery), General surgery, Adesh Institute of Medical Sciences and Research, Bathinda

2. MBBS, MS, FAIS, FCLS, FIAGES, Professor, General Surgery, Adesh Institute of Medical Sciences and Research, Bathinda

3. PG 3 Year (Junior resident) General surgery, Adesh Institute of Medical Sciences and Research, Bathinda.

Abstract

Introduction: Cholecystectomy remains the most effective treatment for gallbladder disease when symptomatic. Since the introduction of laparoscopic cholecystectomy, this approach has replaced the traditional open cholecystectomy. Laparoscopic Cholecystectomy was rst reported in Germany (1985) and France (1987). Although not immediately universally adopted, laparoscopic cholecystectomy has revolutionized minimally invasive surgery. Now Laparoscopic cholecystectomy has rapidly become the procedure of choice for gallbladder disease patients and is currently the most commonly performed major abdominal procedure worldwide. Aims: The aim of this study is to assess the preoperative and intraoperative predictors of difcult laparoscopic cholecystectomy. Materials and method: This Study was conducted for one and a half year at Department of General Surgery, AIMSR, Bathinda. 100 patients were included in this study. Result: The study showed that, most of the patients had no Conversion to open [93 (93.0%)] it was statistically signicant (p< .00001.). (Z=12.1622) and we also found that, higher number of patients had POD2 Drain removal [60 (60.0%)] it was statistically signicant (p< .00001.). (Z=5.0064). Conclusion: In this study, most of the patients had E Lap cholecystectomy. However, D Lap cholecystectomy followed by VD Lap cholecystectomy and lower number of patients had Conversion to open which was statistically signicant

Publisher

World Wide Journals

Subject

Aquatic Science,Oceanography,Linguistics and Language,Language and Linguistics,Industrial and Manufacturing Engineering,Polymers and Plastics,Materials Science (miscellaneous),Communication,Cultural Studies,Electrical and Electronic Engineering,Signal Processing,Electronic, Optical and Magnetic Materials,Biotechnology,Electrical and Electronic Engineering,Instrumentation,Industrial and Manufacturing Engineering,Safety, Risk, Reliability and Quality,General Chemical Engineering,Electrical and Electronic Engineering,Atomic and Molecular Physics, and Optics,Electrical and Electronic Engineering,Industrial and Manufacturing Engineering,Electrical and Electronic Engineering,Biochemistry,Instrumentation,Atomic and Molecular Physics, and Optics,Analytical Chemistry

Reference14 articles.

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