CLINICAL OUTCOME OF LAPAROSCOPIC SUBTOTAL CHOLECYSTECTOMY IN THE TREATMENT OF COMPLICATED CHOLECYSTITIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 21
Abstract
Laparoscopic cholecystectomy has replaced open cholecystectomy as the surgical procedure of choice for symptomatic gallstones. The presence of risk factors such as difficult Calot’s triangle, various liver pathologies like hard fibrotic liver tissue as seen in chronic cholecystitis, severe adhesions between the liver and gallbladder wall, oedematous tissue in severe acute cholecystitis and neovascularity as in cirrhotic liver make the dissection very difficult and dangerous. The present study was conducted to evaluate the role and outcome of laparoscopic subtotal cholecystectomy in the treatment of complicated cholecystitis. MATERIALS AND METHODS This was a descriptive study conducted on all patients who underwent laparoscopic subtotal cholecystectomy at Dayanand Medical College, Ludhiana from 1st January 2014 to 30th June 2017. Details of the patients were retrieved and analysed for demographic data, history and clinical findings, investigations, operative findings, length of hospital stay, complications and outcome. RESULTS The total number of laparoscopic cholecytectomies done during the total duration of the study was 1,926. The overall incidence of laparoscopic subtotal cholecystectomy in our study was 1.1%. CONCLUSION Laparoscopic subtotal cholecystectomy may be a safe alternative to open subtotal cholecystectomy in patients with various forms of complicated cholecystitis. If difficulty is encountered when dissecting the neck and Calot’s triangle, isolating the cystic duct is unnecessary and the conversion rate decreases by devising alternate methods for handling hostile Calot’s triangle as described in this study. This study demonstrates that laparoscopic subtotal cholecystectomy is associated with a reduced risk of severe complications in the patients with complicated cholecystitis.
Authors and Affiliations
Varun Gupta, Vinay Karwal, Sanjeev Kumar Singla, Manvi Gupta
Keywords
Related Articles
- EP ID EP431603
- DOI 10.14260/jemds/2018/570
- Views 66
- Downloads 0
CAN ACROCHORDONS BE A MARKER OF METABOLIC SYNDROME?
BACKGROUND Acrochordon or fibroepithelial polyp known as skin tags are one of the most common benign skin conditions. It consists of skin projecting from the surrounding skin usually occurring in the eyelids, neck and ax...
STRONGYLOIDES STERCORALIS- AN UNDERDIAGNOSED PARASITIC INFECTION?- A STUDY FROM A TERTIARY CARE HOSPITAL IN NORTH INDIA
BACKGROUND Strongyloidiasis is an infectious parasitic disease caused by Strongyloides stercoralis- the soil transmitted intestinal nematode pathogenic to humans. The infection is prevalent throughout, infecting more tha...
CLINICAL PROFILE OF PATIENTS ADMITTED WITH ACUTE KIDNEY INJURY IN INTENSIVE CARE UNIT
BACKGROUND Acute Kidney Injury (AKI) in intensive care unit (ICU) is very common. This study looked at the clinical profile of patients admitted in ICU with AKI. MATERIALS AND METHODS Prospective observational study was...
PREVALENCE OF EXTENDED SPECTRUM BETA-LACTAMASES AND AMP-C BETA-LACTAMASES IN CLINICAL ISOLATES OF GRAM-NEGATIVE BACILLI AT A TERTIARY CARE HOSPITAL
BACKGROUND Amp-C beta-lactamase are cephalosporinases that hydrolyze cephamycins as well as other extended spectrum cephalosporins and are poorly inhibited by clavulanic acid. Although, reported with increasing frequency...
NOXIOUS EFFECTS OF FORMALIN TREATED CADAVERS ON MEDICAL STUDENTS DURING DISSECTION
BACKGROUND A cadaver is preserved via the infusion of formalin, which contains formaldehyde. Formaldehyde is colourless and flammable gas, which has an irritating and pungent smell. Formalin after evaporation from the em...