A Study On Extra Hepatic Biliary Calculi
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: Gallstone disease is the commonest disease involving biliary tract and is associated with significant morbidity and mortality so in this study we evaluated the age, sex incidence, most common etiological factors for extra – hepatic biliary calculi, illustrated the varying clinical presentations, studied the various modes of management adopted in our institution and analyzed the biochemical types of stones prevalent in this part of country. Material and methods: This study was conducted in Thanjavur medical college, Department of General surgery between August 2014 to August 2016. Patients admitted in various surgical units of our hospital were studied. A total of 60 patients were studied. A detailed history including dietary factors, life style habits, were elicited in all patients and thorough clinical examination was done in them. Various modalities of Investigations and treatment were carried out and analysis of the collected data were done. Results: From our study of 60 patients with extra hepatic biliary calculi we observed that 31 females had extrahepatic biliary calculi. GB calculi was seen in 41 cases and CBD calculi in19 cases. In 32 cases incidence was around 40- 50 years. Among 41 cases with GB calculi chronic cholecystitis was the presentation in 38 cases, acute cholecystitis in 2 cases and mucocele in 1 case. Among the 19 cases with CBD calculi Obstructive jaundice was the presentation in majority of the cases. For those with GB calculi Elective cholecystectomy was done in 39 patients and two were emergency procedures. Conclusion: Laparoscopic cholecystectomy and open cholecystectomy have their advantages and disadvantages. Surgeon should have sound knowledge of the both ways so as to benefit the mankind in his best possible way
Authors and Affiliations
Marimuthu Veerasamy, A Muthuvinayagam, K Sugumaran
Keywords
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