PREOPERATIVE CLINICAL AND RADIOLOGICAL ASSESSMENT IN PREDICTING DIFFICULT LAPAROSCOPIC CHOLECYSTECTOMY- A STUDY AT GOVERNMENT GENERAL HOSPITAL, GUNTUR
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 22
Abstract
BACKGROUND Since its inception, Laparoscopic cholecystectomy has become the gold standard for gall bladder surgery and is one of the most commonly performed laparoscopic surgeries. Despite advances, at times it becomes difficult and may require conversion to open technique. MATERIALS AND METHODS The present study evaluated 86 patients undergoing laparoscopic cholecystectomy in Government General Hospital during the period from 2016 to 2017 fulfilling the inclusion and exclusion criteria. Standard four port Laparoscopic Cholecystectomy was performed in all cases after taking written consent and collecting required information. The outcome of each case was noted. Analysis was done by Chi-square test, Fisher exact test, t-test and Univariate analysis using BioStats software. RESULTS A total number of 86 patients underwent laparoscopic cholecystectomy. Operative difficulty, either an identified bile duct injury or cases requiring conversion to open technique was observed in 6 cases. Patients with history of recent attacks in the past six months, increased total leucocyte counts and a thick gall bladder wall required conversion significantly more than others. CONCLUSION Present study identified history of recent attacks, increased total leucocyte counts and a thickened gall bladder wall as the most important factors in conversion.
Authors and Affiliations
Mudavatu Bhagavan Naik, Meghavathu Govindu Naik, Nishanth Sadhanala
Keywords
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- EP ID EP433352
- DOI 10.14260/jemds/2018/607
- Views 119
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