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.
References
- Difficult laparoscopic cholecystectomy: current evidence and strategies of management. Hussain A. Surg Laparosc Endosc Percutan Tech.2011 Aug; 21(4):211-7.
- Vivek MA, Augustine AJ, Rao R. A comprehensive predictive scoring method for difficult laparoscopic cholecystectomy. J Minim Access Surg.2014;10(2):62-7.
- Bat O. The analysis of 146 patients with difficult laparoscopic cholecystectomy. Int J Clin Exp Med. 2015;8(9):16127-31.
- Ayerdi, J. Wiseman, S. K. Gupta, and S. C. Simon, “Trainingbackground as a factor in the conversion rate of laparoscopic cholecystectomy,” The American Surgeon, vol. 67, no. 8,pp. 780–785, 2001.
- Rosen, F. Brody, and J. Ponsky, “Predictive factors forconversionof laparoscopic cholecystectomy,” American Journal ofSurgery, vol. 184, no. 3, pp. 254–258, 2002.
- Tang and A. Cuschieri, “Conversions during laparoscopic cholecystectomy: risk factors and effects on patient outcome,” Journal of Gastrointestinal Surgery, vol. 10, no. 7,pp. 1081–1091, 2006.
- W. Low, S. G. Iyer, S. K. Chang, K. S. Mak, V. T. Lee, and K.Madhavan, “Laparoscopic cholecystectomy for acute cholecystitis: safe implementation of successful strategies to reduceconversion rates,” Surgical Endoscopy, vol. 23, no. 11,pp. 2424–2429, 2009.
- I. Lengyel, M. T. Panizales, J. Steinberg, S. W. Ashley,and A. Tavakkoli, “Laparoscopic cholecystectomy: what isthe price of conversion?” Surgery, vol. 152, no. 2,pp. 173–178, 2012.
- Hussein M. Atta, Ashraf A. Mohamed, Alaa M. Sewefy, Abdel-Fatah S. Abdel-Fatah, Mohammed M. Mohammed, and Ahmed M. Atiya, “Difficult Laparoscopic Cholecystectomy and Trainees: Predictors and Results in an Academic Teaching Hospital”. Gastroenterology Research and Practice Volume 2017, Article ID 6467814, 5 pages https://doi.org/10.1155/2017/6467814.
Corresponding Author
Shraddha Verma
Lecturer Dept. of Surgery, GSVM Medical College, Kanpur