Volume : VIII, Issue : VIII, August - 2018

A study on different preoperative predictors of difficult laparoscopic cholecystectomy

Dr Mrityunjai Kumar, Dr Seema Kumari

Abstract :

Background: Laparoscopic cholecystectomy is now the main choice for treatment of gallstone disease. During LC we cannot tell exactly how much time it will take and what complication we will face while doing and sometimes the need to convert the laparoscopic surgery into open. To overcome this problem, we have done a study to determine the different preoperativepredictors which will help in determining a difficult laparoscopic cholecystectomy.   Aim: The aim was to find out different preoperative predictors of difficult laparoscopic cholecystectomy.   Materials and Methods: The study was done from June 2017 to May 2018 in department of general surgery Jawaharlal Nehru medical college, Bhagalpur, Bihar. The study included 100 cases.   Results– Mean patient age was 36 years. Out of 100 patients included in this study 84 (84%) were easy, 12 (12%) were difficult and 4 (4%) patients required conversion to open cholecystectomy. The overall conversion rate was 4%. More than 2 previous attacks of cholecystitis, GB wall thickness of >4mm, impacted gall stone and Pericholecystic collection were all statistically significant for predicting the difficult LC and its conversion.   Conclusion: study shows that the preoperative evaluation can predict operative difficulty for laparoscopic cholecystectomy to a good extent.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr Mrityunjai Kumar, Dr Seema Kumari, A study on different preoperative predictors of difficult laparoscopic cholecystectomy, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-8 | Issue-8 | August-2018

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