Free intra-peritoneal gall-stones following laparoscopic cholecystectomy

1993 ◽  
Vol 48 (4) ◽  
pp. 258-259 ◽  
Author(s):  
C.F. Walshaw ◽  
H. Deans ◽  
Z.H. Krukowski
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Stones

scholarly journals 3 Port vs 4 Port laparoscopic cholecystectomy in gall stones disease

2020 ◽  
Vol 4 (1) ◽  
pp. 375-379
Author(s):  
Dr. Shivakumar S ◽  
Dr. Arjun MV ◽  
Dr. Diwakar SR ◽  
Dr. Sujith Kumar Sah ◽  
Dr. Madhava Shenoy
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Stones

Recurrent perinephric and intra-peritoneal sepsis from dropped gall stones at laparoscopic cholecystectomy

2013 ◽  
Vol 8 (3) ◽  
pp. 222-223
Author(s):  
Nnaemeka Eli ◽  
Michelle Christodoulidou ◽  
Michael Pantelides ◽  
Bohdan Smajer
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Stones

scholarly journals Study of correlation between pre-operative ultrasonographic findings and difficult laparoscopic cholecystectomy

2018 ◽  
Vol 5 (7) ◽  
pp. 2605
Author(s):  
Himanshu Chindarkar ◽  
Ramesh Dumbre ◽  
Arun Fernandes ◽  
Deepak Phalgune
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Bladder ◽  
Wall Thickness ◽  
Bladder Wall ◽  
Fluid Collection ◽  
Gall Stone ◽  
Bladder Wall Thickness ◽  
Gall Stones ◽  
Proper Patient Selection ◽  
Gall Bladder Wall

Background: In laparoscopic cholecystectomy prevention of certain life-threatening complications are dependent on proper patient selection. Some reliable factors to predict difficulty, conversion or complications in laparoscopic cholecystectomy are needed. In the present research attempt was made to study correlation between pre-operative abdominal ultrasonographic findings and difficultly in laparoscopic cholecystectomy.Methods: Sixty patients above age of 18 years with gall stone admitted for elective laparoscopic cholecystectomy were included. Pre-operative ultrasonographic parameters such as gallbladder wall thickness and size, gallstone mobility, common bile duct (CBD) diameter, size and number of calculi, presence of pericholecystic fluid collection were given score of 0 or 1 based on findings being negative or positive respectively. Total score was correlated to intraoperative difficulty of surgery. Operative findings were graded as difficult laparoscopic cholecystectomy if there were presence of dense peri gall bladder adhesions, difficulty in dissection of Calot triangle, tear of gallbladder, bleeding that hindered visual field, abnormal anatomy of biliary tree and buried or intrahepatic gall bladder.Results: Pre-operative USG findings such as gall bladder wall thickness and size, impacted and size of gall stones, CBD diameter, presence of pericholecystic fluid collection were significantly associated with difficult laparoscopic cholecystectomy. Gall bladder wall thickness, pericholecystic fluid collection and impacted gall stones were accurate predictors for difficult laparoscopic cholecystectomy. Higher the pre-operative USG score, higher were the percentage of difficult laparoscopic cholecystectomy and conversion to open cholecystectomy.Conclusions: Pre-operative ultrasonography in the form of the formulated score is a good predictor of difficulty in laparoscopic cholecystectomy.

scholarly journals Role of scoring system in prediction of difficult laparoscopic cholecystectomy

2017 ◽  
Vol 5 (1) ◽  
pp. 257
Author(s):  
Delie Rhezhii ◽  
Vikas Goyal ◽  
Nitin Nagpal ◽  
Shobhit Kumar Nemma ◽  
Monica Gupta
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Scoring System ◽  
Open Cholecystectomy ◽  
Bladder Wall ◽  
Scoring Systems ◽  
Gall Stones ◽  
Group I ◽  
Conversion To Open Cholecystectomy ◽  
Group Ii

Background: One of the most common reasons for admission to hospital is cholecystectomy and it has a mortality rate of 0.45% to 6%. Many risk factors have been found to be associated laparoscopic cholecystectomy that make it difficult like advance age, male gender, fever, obesity, previous abdominal surgeries, thick gall bladder lining, distention of bladder, presence of gall stones. There have been different scoring systems in literature that determine the risk of conversion to open cholecystectomy. The aim of present study is to determine the role of scoring system in predicting difficult laparoscopic surgery.Methods: The present prospective study was conducted for a period of 1 year in the Department of Surgery at Guru Gobind Singh Medical College, Faridkot, Punjab. The study included all the patients with symptomatic gall stones reporting to the OPD of the hospital. Patients were categorized into two groups after the surgery. Group I included patients who underwent successfully laparoscopic cholecystectomy and group II included those who were converted into an open case. In this study all the entities were provided with a score. Patients with score less than 4 were grouped as difficult. At the end of the study all the data were analyzed to see how scoring system can predict which patients will have easy or difficult laparoscopic cholecystectomy based on postoperative scoring. All the data was recorded in a tabulated form and analyzed using SPSS software.Results: The present prospective analytical study involved 112 subjects; out of these 94 were males and 18 females. The mean age of subjects was 48.2±3.7 years. There were 98 patients in Group I and 8 patients in group II who had didn’t show presence of peri cholecystic fluid. There was 1 patient in Group I and 5 patients in group II who had peri cholecystic fluid on ultrasound. There were 104 subjects with gall was thickness less than 4 mm. There were 95 patients in Group I and 9 patients in group II who had who had who had bladder wall thickness of less than 4 mm.Conclusions: The scoring tool evaluated in our study is useful in evaluating the risk of conversion of laparoscopic cholecystectomy into open cholecystectomy.

scholarly journals Gall Stones in Acute Pancreatitis - A Prospective Study

2020 ◽  
Vol 7 (46) ◽  
pp. 2690-2693
Author(s):  
Venkata Prakash Gandikota ◽  
Tharaka Mourya Nutulapati ◽  
Purushotham Gangapalli ◽  
Ajay Babu Korchapati ◽  
Sahithi Priya Boddukura ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Laparoscopic Cholecystectomy ◽  
Prospective Study ◽  
Hospital Stay ◽  
Morbidity And Mortality ◽  
Care Hospital ◽  
Biliary Pancreatitis ◽  
Acute Biliary Pancreatitis ◽  
Gall Stones ◽  
A Prospective Study

BACKGROUND Multiple practice guidelines from different American and European societies recommend index hospitalization cholecystectomy following an episode of gallstone pancreatitis. We wanted to analyse the outcome of patients presenting with acute pancreatitis in the presence of gall stones, analyse the sensitivity and specificity of liver function tests in early prediction of acute biliary pancreatitis and establish the advantages of early intervention in acute biliary pancreatitis. METHODS This is a prospective study conducted at a tertiary care hospital for a period of 12 months among 100 cases of acute pancreatitis who presented with abdominal pain with serum amylase level 3 times the normal limits in the absence of hypercalcemia or hyperlipidaemia. Presence of gallstones was confirmed on ultrasonography. Patients were subjected to preoperative ERCP and endoscopic sphincterotomy. Intraoperative and postoperative morbidity and mortality, and postoperative hospital stay were reported. RESULTS Gall stones were the cause of pancreatitis in 16 out of 100 cases (16 %). Male to female ratio was 1 : 3. Mean occurrence of age was 51.1 years. Preoperative ERCP was done 10 cases (63 %). Laparoscopic Cholecystectomy was performed in all the 16 cases (100 %) of which 12 cases (75 %) underwent Lap cholecystectomy in the same admission and 4 cases were subjected to interval cholecystectomy. 1 case was converted to open procedure. Post-operative complications include nausea and vomiting in 2 cases, chest infection in 2 and bile leak in 1. CONCLUSIONS Management of acute pancreatitis in the presence of gallstones requires prompt diagnosis and timely intervention. Laparoscopic cholecystectomy can be safely performed for mild to moderate acute biliary pancreatitis after clinical and biochemical resolution of the attack during the same admission with acceptable morbidity and mortality rates. This strategy will lead to reducing the recurring acute biliary pancreatitis, number of admissions and hospital stay. KEYWORDS Acute Pancreatitis, Gallstones, LFT, Lipase, Amylase, ERCP, Laparoscopic Cholecystectomy

SP6.1.6 Rule of systematic intraoperative cholangiogram in patients undergoing emergency cholecystectomy

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Fady Hatem ◽  
Sam Mostafa ◽  
Jenny Thomas ◽  
Ahmad Nassar
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Cystic Duct ◽  
Gall Stone ◽  
Stone Disease ◽  
Cbd Stones ◽  
Gall Stones ◽  
Gall Stone Disease ◽  
Biliary Ducts ◽  
Emergency Cholecystectomy

Abstract Aims Incidence of gall stone disease is estimated at 10-15%of population. Intraoperative cholangiography (IOC) diagnose choledocholithiasis, delineates the anatomy of the biliary ducts, facilitate the dissection and reduces injuries. Our aim is to assess the feasibility and role of IOC and the incidence of choledocholithiasis in acute cholecystitis (ACC). Methods Retrospective analysis of prospectively collected data for patients admitted with ACC and undergoing same-hospital-stay laparoscopic cholecystectomy (LC). IOC was systematically attempted in all cases. Results 475cases included. Female to male ratio1.9:1. Conversion to open was done in 3 cases. Preoperative cholelithiasis was confirmed in 439cases versus 34cases with no stones. USS CBD abnormality (dilated or contain stone) found in 53 cases, out of which 8(15%) cases had CBD stones. Jaundice was found in 69cases, where 25(39%) cases had confirmed choledocholithiasis. IOC was successful in all cases except one. Abnormal IOC was found in 99(21%) cases. Of those; CBD stones were confirmed in 76 (77%) cases regardless the presence of cholelithisasis on USS. Empyema was found in 237 cases and it was associated with higher risk of abnormal IOC in 59(25%) cases where CBD stones were confirmed in 45(76%) cases. Cystic duct (CD) stones found in 80cases, of those 27(34%)cases had choledocholithiasis. Conclusions Females have double the risk of ACC. Preoperative jaundice and CD stones are stronger indicators than CBD diameter for presence of choledocholithiasis. The incidence of choledocholithiasis in ACC is (20-25%) regardless the presence of gall stones on USS. IOC is feasible and highly recommended in emergency LC.

scholarly journals Day case laparoscopic cholecystectomy in patients with high BMI: Experience from a UK centre

2016 ◽  
Vol 98 (5) ◽  
pp. 329-333 ◽  
Author(s):  
A Tandon ◽  
G Sunderland ◽  
QM Nunes ◽  
N Misra ◽  
M Shrotri
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Stone ◽  
Morbidly Obese ◽  
Day Case ◽  
Potential Cost ◽  
Day Case Surgery ◽  
Gall Stones ◽  
Increased Risk ◽  
Case Surgery ◽  
High Bmi

IntroductionSymptomatic gall stones may require laparoscopic cholecystectomy (LC), which is one of the most commonly performed general surgical operations in the western world. Patients with a high body mass index (BMI) are at increased risk of having gall stones, and are often considered at high risk of surgical complications due to their increased BMI. We believe that day case surgery could nevertheless have significant benefits in terms of potential cost savings and patient satisfaction in this population. We therefore compared the outcomes of day case patients undergoing LC stratified by BMI, with a specific focus on the safety and success of the procedure in obese and morbidly obese groups.MethodsWe reviewed a database of day case procedures performed between January 2004 and December 2012, including all patients with symptomatic gall stone disease who underwent LC. The patients were divided in four BMI groups: less than 25 kg/m2, 25–29 kg/m2, 30–39 kg/m2and 40 kg/m2or above.ResultsThe overall success rate for day case surgery was 78%. There were no significant differences in rates of intra-abdominal collection or readmission with increasing BMI. However, increasing BMI was associated with a significant increase in the rate of wound infection.ConclusionsLC in patients with a high BMI is safe and can be performed effectively as a day case procedure.

Retroperitoneal abscess with retained gall-stones as a late complication of laparoscopic cholecystectomy

2016 ◽  
Vol 88 (1) ◽  
Author(s):  
Mateusz Kamiński ◽  
Michał Nowicki
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Bladder ◽  
Female Patient ◽  
Rare Case ◽  
Bladder Wall ◽  
Late Complication ◽  
Retroperitoneal Abscess ◽  
Gall Stones ◽  
Gall Bladder Wall ◽  
Golden Standard

AbstractLaparoscopic cholecystectomy is the golden standard, considering treatment of cholelithiasis. During the laparoscopic procedure one may often observe damage to the gall-bladder wall, as well as presence of gall-stones in the peritoneal cavity, as compared to classical surgery. These gall-stones may be associated with the occurrence of various complications following surgery. The study presented a rare case of a retroperitoneal abscess, as a consequence of retained gall-stones, in a female patient who was subject to laparoscopic cholecystectomy two years earlier.

Sign in / Sign up

Export Citation Format

Share Document