A Study on the Conversion Rate of Laparoscopic Cholecystectomy to Open Cholecystectomy and Its Causes with Special Reference to Rural Population
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Today Laparoscopic cholecystectomy has replaced open cholecystectomy as the ‘gold standard’ in treatment of patients with symptomatic cholelithiasis. Advantages being relatively less pain, early ambulation, shorter hospital stay and lower incidence of incisional hernia. The condition of the patient, the level of experience of the surgeon, and technical factors all can play a role in the decision for conversion. This study was conducted in an effort to determine the conversion rate and also identify the factors responsible for conversion of laparoscopic cholecystectomy to open cholecystectomy. Hence, these findings will allow us to preoperatively discuss the higher risk of conversion and allow for an earlier judgement and decision on conversion if intra-operative difficulty is encountered. This was a prospective clinical study consisting of 112 patients undergoinglaparoscopic cholecystectomy. All patients were admitted in Bankura Sammilani Medical College and Hospital from June 2014 to May 2015. Data was collected by meticulous history taking, careful clinical examination, appropriate radiological, haematological investigation, operative findings and follow-up of the cases. In conclusion, laparoscopic cholecystectomy is a safe and minimally invasive technique, with only low conversion rate and the commonest cause of conversion in this study was the presence of dense adhesions at Calot's triangle
Authors and Affiliations
Nisith Ranjan Mallik, Supratim Bhattacharyya, Ashis Kumar Saha, Chhanda Das
Keywords
Related Articles
- EP ID EP373327
- DOI 10.9790/0853-1704125157.
- Views 35
- Downloads 0
Role of Insulin Resistance in Acne Vulgaris: A Hospital Based Observational Study
Background and aim: This study was aimed to assess the role of insulin resistance in acne vulgaris. Materials and method: This was a hospital-based, observational study done on 300outdoor patientswho were clinically diag...
Drug Prescription Pattern Of Out Patients In A Tertiary Care Teaching Hospital In Gannavaram, Andhrapradesh.
Drug utilization research will increase our understanding of how drugs are being used by estimating to what extent drugs are properly used , over used, or under used, drug utilization research may also enable us assess w...
Evaluation of CA125 and CA19-9 during different Stages of Urothelial Carcinoma In Pre and Post-therapeutic level
The aim of the study was to evaluate the role of CA125 and CA19-9 tumour markers in different stages of urothelial carcinoma and monitoring the response to therapy. Several levels of CA125 and CA19-9 (each purchased from...
Thyroid dysfunction in insulin treated type 2 diabetes mellitus patients
.
A Practical Approach to Fatigue Patients in Tertiary Care Hospitals- Aprospective Study
Fatigue is a subjective feeling of tiredness which is distinct from weakness, and has a gradual onset. Unlike weakness, fatigue can be alleviated by periods of rest. Fatigue can have physical or mental causes.Fatigue is...