CLINICO RADIOLOGICAL PREDICTORS OF DIFFICULT LAPAROSCOPIC CHOLECYSTECTOMY-Reference-Cited by-同舟云学术

CLINICO RADIOLOGICAL PREDICTORS OF DIFFICULT LAPAROSCOPIC CHOLECYSTECTOMY

Published:2022-01-01 Issue: Volume: Page:12-14
ISSN:
Container-title:INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH
language:en
Short-container-title:ijsr

Author:

Sengupta Tamal Kanti¹,Kumar Gupta Naveen²,Danish Syed³,Jana Debarshi⁴

Affiliation:

1. MS, Associate Professor, Department of General Surgery, Medical College, Kolkata, Kolkata – 700073

2. MS, MCh, AssistantProfessor, Department of Urology, Institute ofPost Graduate Medical EducationAndResearch,Kolkata -700020,WestBengal,India.

3. MS, Registrar, Columbia Asia Hospital, Salt Lake, Kolkata

4. Young Scientist DST, Institute of Post-graduate Medical Education And Research, A.J.C. Bose Road, Kolkata-700020, West Bengal, India

Abstract

The aim of the study was to identify the predictors of difculty in laparoscopic cholecystectomy. Preoperative risk assessibility would be useful for informing patients and a more experienced surgical team could be assembled when risk for conversion appears signicant. In this study, time taken for the surgery, biliary/stone spillage, injury to duct/artery or conversion to open cholecystectomy was noted. In this study we concluded that BMI>27.5, history of prior hospitalization, palpable gallbladder, impacted stone and pericholecystic uid collection were signicant predictors of difcult laparoscopic cholecystectomy. Positive predictive value for easy prediction was 90.0% and for difcult prediction was 70.6%

Publisher

World Wide Journals

Reference13 articles.

1. Shaffer EA. Epidemiology and risk factors for gallstone disease: Has the paradigm changed in the 21st century? Curr Gastroenterol Rep 2005;7:132-40

2. Tendon R. Diseases of gallbladder and biliary tract. API text book of medicine. Eds. Shah SN, 7th Ed. 2003;642-44

3. Sanabria JR, Gallinger S et al. Risk factor in elective laparoscopic cholecystectomy for conversion to open cholecystectomy.J Am coll surg 1994;179:696-704.(s)

4. Prashant S Dhanke et al.Factors predicting difficult laparoscopic cholecystectomy :a single institutional experience: international journal of student research.2014,vol4,Issue 1,Page 3-7.

5. Schrenck P et al.A diagnostic score to predict the difficulty in laparoscopic cholecystectomy from preoperative findings.Surg Endosc 1998.