Title: Difficult Laparoscopic Cholecystectomy: A Prospective Study of Predictive Factors

Authors: Anju Yadav, Shraddha Verma, G.D. Yadav, Yashoda, Probal Neogi

 DOI: https://dx.doi.org/10.18535/jmscr/v7i1.77

Abstract

 

Background: Laparoscopic cholecystectomy is now the widely practised surgical procedure for patients with gall stones. But like any surgery, many difficulties can be encountered during this procedure which can occur anywhere from during port placement to extraction of gall bladder.

Method: A prospective study was carried out on 166 patients who had to undergo laparoscopic cholecystectomy and their data was evaluated on the basis of patients’ characteristics, history, haematological and radiological parameters.

Conclusion: Increased age, high body mass index, contracted fibrosed gall bladder and large sized stones were found to have a positive association in predicting difficulty of the procedure while sex and raised total leucocyte count had no significant role.

Keywords: Gall stones, Laparoscopic cholecystectomy, difficult laparoscopic cholecystectomy.

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Corresponding Author

Shraddha Verma

Lecturer Dept. of Surgery, GSVM Medical College, Kanpur