Efficacy of Mini lap Cholecystectomy in the Management of Symptomatic Cholelithiasis
Journal Title: New Indian Journal of Surgery - Year 2019, Vol 10, Issue 4
Abstract
Gallstone disease is one of the most common biliary pathology. It is estimated that gallstones affect 10–15% of the population in the western societies. Approximately 1–2% of asymptomatic patients will develop symptoms requiring surgery per year, making cholecystectomy one of the most common surgeries performed by the general surgeons. Traditional open cholecystectomy (OC) has more postoperative pain due to excessive dissection and lengthy muscle dissection. Hence laparoscopic cholecystectomy (LC) was introduced which revolutionized the treatment of gallstone disease. Though, these advances have markedly reduced postoperative pain and hospital stay, etc. they are associated with high cost, long, learning curve and also postoperative complications. Incidence of CBD injury is found to be high in LC compared to conventional cholecystectomy. The advent of Mini Lap cholecystectomy (MLC) has brought down the cost, hospitalization stay early return to work, etc. Hence in resource poor countries, MLC is an acceptable alternative too LC, as it is done through a small 5–6 cm incision. The advantages of performing cholecystectomy through a minimal incisions controversial. In view of the above the present study is taken up to evaluate the efficacy of Mini lap cholecystectomy.
Authors and Affiliations
AVN Ganga Prasad
Keywords
Related Articles
- EP ID EP671185
- DOI 10.21088/nijs.0976.4747.10419.6
- Views 108
- Downloads 0
Mosquito Net: A Cost Effective Alternative to Prolene Mesh for Inguinal Hernia Repair
Context: Hernioplasty with use of synthetic mesh is the gold standard for Inguinal hernia repair. However high cost of synthetic mesh is the limiting factor for its use in poor resource countries. This is a study of use...
The Role of Upper GI Endoscopy in the Diagnosis and Treatment of Chronic Abdominal Pain in A Rural Hospital Set UP
Abdominal pain is one of the most common symptoms patients present in surgical outpatient department. It may be associated with other symptoms which sometime point towards a working diagnosis. But many a time because of...
Study of Total 25 Patients of Splenic Trauma
Management of blunt injury to the spleen in adults has been applied with increasing frequency. The purpose of this multi-institutional study was to determine which factors predict successful observation of blunt splenic...
The Pattern of Anatomical Location of the Parathyroid Glands: A Prospective Study
Introduction: The origin of parathyroid glands is from branchial pouches. As the fetus grows the parathyroid drift to their location near to the thyroid gland, but the final destination of the parathyroid glands are very...
Evaluation of Appendicitis Inflammatory Response Score in Diagnosis and Management of Acute Appendicitis
mergency that we have to consider when patients present with pain in right iliac fossa. Though one can come to a conclusive diagnosis of acute appendicitis with history and correlation with clinical signs, the negative...