Clinico-radiological assessment for prediction of difficult laparoscopic cholecystectomy
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 2
Abstract
Background: Although laparoscopic cholecystectomy (LC) is considered the gold standard technique for symptomatic cholelithiasis, sometimes it is technically challenging for the surgeons. There are some clinical and radiological factors which can be assessed preoperatively to reliably predict the feasibility of successful laparoscopic cholecystectomy. The aim of the present study was to assess clinical as well as radiological findings for prediction of difficult laparoscopic cholecystectomy. Material and Methods: This prospective observational study included 60 cases with symptomatic cholelithiasis chosen for laparoscopic cholecystectomy. All the patients were subjected to the clinical and radiological assessments which were regarded as preoperative factors for prediction of difficult laparoscopic cholecystectomy. Results: Clinical assessment showed that sex, fever at the time of attack, whereas, radiological assessment showed all bladder wall thickness, pericholecystic collection were significant for conversion. Discussion: Difficult laparoscopic cholecystectomy and conversion to open surgery can be predicted preoperatively based on clinico-radiological factors such as fever at the time of attack, gall bladder wall thickness, pericholecystic collection.
Authors and Affiliations
Vijay Kassa, Sangeeta Nimbalkar
Keywords
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