A Prospective study of Role of Magnetic Resonance Cholangiopancreatography for Prediction of Difficult Cholecystectomy
Journal Title: New Indian Journal of Surgery - Year 2018, Vol 9, Issue 1
Abstract
Background and Objectives: To identify difficult cholecystectomy is often subjective, because itcan be established by the operator in an arbitrary manner.The followingparameters allow defining cholecystectomy as “difficult”: difficult identification and isolation of the cystic artery and duct, scarring of Calot’striangle, inflammation, Adhesions,a short cysticduct, difficult dissection of the gallbladder wall from the hepatic bed etc. MRCP being an excellent, easily available, safe, non-invasive modality in delineating anatomy of extra hepatic as well as intra hepatic biliary system can be used prior to everycholecystectomy to detect the exact pathology and presence of any anatomical variations. This will preclude the surgeon from coming across any unexpected variations which can lead to serious complications. Methods: In this study, 50 cases of gallbladder disease are examined preoperatively for difficult cholecystectomy based on MRCP findings in Sir T. Hospital, Bhavnagar From December-2015 to September-2017. Results: In this study, difficult cholecystectomy is more found in age group of 41-60 years 64.28%, more in male patients 69.23% and more common with jaundice and other associated factors like Hypertension, Diabetes and IHD. Out of 50 patients MRCP of total 41patients were done and can identify the possibility of difficult cholecystectomyin 20 patients.
Authors and Affiliations
Abdulhamid Khorajiya
Keywords
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- EP ID EP541904
- DOI 10.21088/nijs.0976.4747.9118.3
- Views 54
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