Comparative study of Fundus first and Retrograde Cholecystectomy at a tertiary care centre in Northern India
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH IN MEDICAL SCIENCES - Year 2018, Vol 4, Issue 1
Abstract
Introduction Gall stone disease is a common clinical problem. The prevalence varies greatly with age, sex, country and ethnic group. It is a disease primarily of middle aged and elderly adults. An increasing number of patients over 60 years of age are being operated upon for cholelithiasis. Cholecystectomy is the most common elective operation performed by general surgeons through the world. Materials and Methods The study was based on 50 cholecystectomy case operated at Guru Nanak Dev Hospital, Amritsar. Two groups were made- Group A included the patients in whom cholecystectomy with fundus first method was done and group B included the patients in whom cholecystectomy with duct first method was done. The results of the two were compared. Results The results were based on age, sex, associated disease, USG finding, type of incision, look of gall bladder, colour of aspirate, thickness of gall bladder, operative diagnosis, adhesions, anatomical anomalies, peroperative complication, technical difficulty time taken during the surgery, drainage and post operative complication. Conclusion The study concluded that retrograde cholecystectomy should be the first preference. However in difficult cases, it is wise to combine this with fundus first method of cholecystectomy, so as to minimise injury to the structures in the Calot's triangle.
Authors and Affiliations
Manjit Singh Khalsa1 , Satpal Hans2 , Gurbax Singh3 , Sahil Mashal4* Anand Dutta 4 , Devika Krishnakumar4
Keywords
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- EP ID EP550394
- DOI 10.22192/ijcrms.2018.04.01.001
- Views 190
- Downloads 0
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