A prospective study of radical cholecystectomy for gallbladder carcinoma
Journal Title: Surgical Update: International Journal of Surgery and Orthopedics - Year 2017, Vol 3, Issue 1
Abstract
Background: Gallbladder cancer tends to be an aggressive tumor that spreads early and leads to rapid death. The clinical pessimism surrounding gallbladder cancer is because of its late presentation and lack of effective therapy. Definitive resection for Gallbladder cancer depends on stage and location of the tumour as well as whether it is repeat resection after a previous simple cholecystectomy. Serious problems soon after surgery can include bile leakage into the abdomen, infections, and liver failure. Material and Methods: From the report of Hospital Based Cancer registry (HBCR) of CNCI information regarding all cancer cases were collected and analyzed to find the proportion of cancer in gall bladder cases. Patients for this study was selected from the patients who undergone radical cholecystectomy for gall bladder carcinoma. Morbidity and mortality of the patient were observed within 30 days of procedure. Results: Proportion gall bladder cancer cases for male and female was 3.7% and 8.94% respectively and overall proportion observed was 6.28%. The incidence of wound infection was higher in diabetics than non diabetics in patients undergoing CRS (15.4 vs. 11.0%, P < 0.001) and patients undergoing GS (5.3 vs. 3.1%, P < 0.001). Bile leakage is common with patients undergone common bile duct resection. Among 6 patients underwent CBD resection, 4 patients had <50ml bile leakage post operatively. Out of 30 patients, one hypertensive patient developed acute myocardial infacrtion.10 % patient had suffered major bleeding and given 3units of blood. The mean number of post-operative blood transfusion of the patients was 1.83±0.59 units with range 1-3 units. Conclusion: Proportion gall bladder cancer observed was 6.28%. As radical cholecystectomy is a major procedure, we encountered few post operative complications like bleeding, septicemia wound infection, bile leak etc.
Authors and Affiliations
Santu Kumar Chejara, Subrat Kumar Sahu, Ranjana Giri
Keywords
Related Articles
- EP ID EP264623
- DOI 10.17511/ijoso.2017.i1.03
- Views 235
- Downloads 0
Comparative study of radiological and clinical outcomes by using single and double interlocking distal screws for humerus shaft fractures
Background: The aim of this study was to make a comparative analysis of radiological and clinical outcomes of using either one or two interlocking distal screws on ahumerus intramedullary nail for the internal fixation o...
Comparitive study between stretching exercises and corticosteroid injection in treatment of patients with plantar fasciitis
Introduction: Plantar fasciitis is the commonnest cause of heel pain. Its cause is uncertain so as there is a lot of treatment methods for it. Our study compares the outcome of two common treatment modaliy known as local...
Missed cases of ‘pulled elbow’– A retrospective study of 28 cases managed at a tertiary care centre in Uttarakhand
Introduction: The ‘pulled elbow’ is fairly common injury seen at primary care level. This injury has characteristic history, clinical presentation and imaging features. Many often the injury is missed and neglected for d...
An epidemiological study to calculate angle between transepicondylar axis and posterior condylar axis of distal femur on MRI in Indian population
Introduction: Rotational positioning of femoral component is a critical aspect of total knee arthroplasty and evaluation of the landmark for rotation of distal femur is a challenge. Most Orthopaedic Surgeons prefer to us...
Late presenting lateral condyle fracture of the humerus in children - clinical outcome of surgical fixation
Aim: To assess the surgical outcome of Late presenting lateral condyle fracture of the humerus in children with open reduction k-wire/cancellous screw fixation. Material and Methods: After obtaining approval of the ethic...