|
|
|
| |
World's one of the largest Research
Career Network |
|
|
|
Benefits |
- Academic & Industry jobs
- Project funding
- Visiting faculty positions
- Visiting scientist positions
- Invited talks
- and more...
|
|
|
|
|
|
|
|
Register FREE
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Global Journal of Surgery. Volume 2, Issue 1 (2011) pp. 46-53
|
|
|
Research Article
|
|
|
|
|
|
|
Preoperative prediction of difficulty during laparoscopic cholecystectomy
|
|
|
|
Muhammad Shamima,*, Khurshid Samob
|
|
|
|
|
|
|
|
a Department of Surgery, Fatima Hospital & Baqai Medical University, Karachi-74600, Pakistan
b Surgical V, Civil Hospital Karachi, Pakistan
|
|
|
|
|
|
|
|
Abstract |
|
|
|
Introduction: To determine the risk factors predicting difficulty during laparoscopic cholecystectomy (LC). Experimental: Surgical V, Civil Hospital and Surgical II, Fatima Hospital (Karachi) between January and November 2008. There were 100 cases of cholelithiasis admitted through out-patient department (OPD) for elective surgery. Clinical features, laboratory investigations and outcome of surgery were recorded on a data collection form. Conversion to open surgery and long operating time were the indicators of difficult laparoscopic dissection. A p-value of <0.05 was considered significant. Results and Discussion: Nine patients required conversion to open surgery, and seven of them were predicted for difficulty. Factors strongly predicting conversion, having p-value <0.05, were: vomiting, previous acute cholecystitis, previous jaundice, tenderness in right hypochondrium, leucocytosis, gallbladder wall thickness of 2mm or more, contracted gallbladder, pericholecystic fluid, and gallbladder adhesions. Conclusions: Operative difficulty of laparoscopic cholecystectomy can be predicted with careful preoperative assessment.
|
|
|
|
|
|
|
Keywords |
|
|
|
Cholecystectomy; Laparoscopic cholecystectomy; Prediction of difficulty; Conversion
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|