scholarly journals Laparoscopic cholecystectomy: an experience of university hospital in eastern Nepal

1970 ◽  
Vol 10 (1) ◽  
pp. 46-48
Author(s):  
A Bajracharya ◽  
S Adhikary ◽  
CS Agrawal
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
Injury Rate ◽  
University Hospital ◽  
Biliary Colic ◽  
Female Ratio ◽  
Open Operation ◽  
Significant Difference ◽  
Duration Of Surgery

Background: Laparoscopic cholecystectomy has become the standard treatment for symptomatic gall stones disease. Objective: To assess the safety of this procedure, to audit the conversion and bile duct injury rates and the factors which influence these. Methods: Demographics and ethnic group, conversion to open operation and bile duct injury recorded. Pre operative, operative and the relevant data collected prospectively. The X2 test to determine significance of any differences between subgroups. Results: A total of 346 laparoscopic cholecystectomy over a six months period (15 April 2010- 14October 2010), male to female ratio 1:4. The most common indication for surgery was biliary colic/dyspepsia (51%),cholecystitis (chronic- 49.4%, acute-12%), pancreatitis, gallbladder polyp, history of recurrent attacks 16.5%,obesity 19.1%. 128 were operated by consultant, 170 by junior consultants, 48 were by senior residents. There were no statistically significant difference found in the duration of surgery between consultants and junior consultants (P=0.264), however significant between consultants and senior residents (P=<0.001). Over all open conversion rate 2.9%, there was a single case of bile duct injury equating to a bile duct injury rate 0.3%. Conclusion: Despite limited resources, laparoscopic cholecystectomy is feasible and safety procedure for gallstones disease even in developing country like Nepal. DOI: http://dx.doi.org/10.3126/hren.v10i1.6007 HREN 2012; 10(1): 46-48

scholarly journals Laparoscopic cholecystectomy: an experience of university hospital in eastern Nepal

2012 ◽  
Vol 10 (2) ◽  
pp. 134-136
Author(s):  
A Bajracharya ◽  
S Adhikary ◽  
C S Agrawal
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
University Hospital ◽  
Biliary Colic ◽  
Female Ratio ◽  
Open Operation ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
History Of

Introduction: Laparoscopic cholecystectomy has become the standard treatment for symptomatic gall stones disease. Objective of this study to assess the safety of this procedure, to audit the conversion and bile duct injury rates and the factors which influence these. Methods: A total of 346 laparoscopic cholecystectomy over a six months period (15 April 2010 to 14 October 2010) with their demographics and ethnic group, conversion to open operation and bile duct injury were recorded. Pre operative, operative and the relevant data were collected prospectively. A chi squire test was done to determine significance of any differences between subgroups. Results: Male to female ratio was 1:4. The most common indication for surgery was biliary colic/dyspepsia (51%),cholecystitis (chronic- 49.4%, acute- 12%), pancreatitis, gallbladder polyp, history of recurrent attacks 16.5%,obesity 19.1%. 128 were operated by consultant, 170 by junior consultants, 48 were by senior residents. There was no statistically significant difference found in the duration of surgery between consultants and junior consultants (P=0.264), however significance between consultants and senior residents (P=<0.001)was observed. Conclusion: Despite limited resources, laparoscopic cholecystectomy is feasible and safe for gallstones disease even in developing country like Nepal.DOI: http://dx.doi.org/10.3126/hren.v10i2.6582 Health Renaissance 2012; Vol 10 (No.2); 134-136 

scholarly journals EP.WE.47Cholecystectomy During COVID-19: A Single Centre Experience

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Nader Ghassemi ◽  
Sneha Rathod ◽  
Hrishikesh Salgaonkar ◽  
Martin Nnaji ◽  
Tejinderjit Athwal ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Healthcare Delivery ◽  
University Hospital ◽  
Biliary Colic ◽  
Study Cohort ◽  
Control Cohort ◽  
Hospital Data ◽  
Peak Period ◽  
Female Ratio ◽  
Significant Difference

Abstract Background The COVID-19 pandemic has significantly impacted healthcare delivery globally with consequent restructuring of surgical services during the peak period and prioritisation of emergency and cancer surgery over elective operations. We present outcomes for laparoscopic cholecystectomy during the peak period for COVID-19 in the UK and compare this with data for the same period in 2019 Methodology This is a prospectively study. Analysis of collected data on patients who underwent laparoscopic cholecystectomy during the peak period for COVID-19 from 1st March 2020 – 30th June 2020 (study cohort) at the Royal Stoke University Hospital. Data from the same period in 2019 (control cohort) was compared and analysed. Results 104 patients underwent a laparoscopic cholecystectomy during the peak period compared to 217 during the same period in 2019. Median age in the study cohort was 51.5 years (15-84 years) and 52 years (19-91 years) in the control cohort (p = 0.49). Male to Female ratio was 1:2 in the study cohort and 1:2.2 in the control cohort (p = 0.67) Emergency admissions constituted the majority of cases and there was no statistically significant difference between both groups (61.5% vs 61.8%, p = 0.49). Most cholecystectomies were for biliary colic (41.3% vs 35.5%) and cholecystitis (37.5% vs 43.8%), and there was no statistically significant difference between both groups (p = 0.31 and p = 0.29 respectively). Conclusion This study demonstrates that laparoscopic cholecystectomy was feasible and safe in patients with symptomatic gall bladder disease during the peak period for COVID-19 when compared to a historic cohort in 2019.

scholarly journals Laparoscopic subtotal cholecystectomy in severe cholecystitis with unclear anatomy

2020 ◽  
Vol 7 (12) ◽  
pp. 3929
Author(s):  
Maged Rihan
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
Common Bile Duct Stones ◽  
Hospital Length Of Stay ◽  
Safe Procedure ◽  
Female Ratio ◽  
Subtotal Cholecystectomy ◽  
Port Site Hernia ◽  
Significant Difference

Background: Aim of the study was to determine the differences between laparoscopic cholecystectomy and laparoscopic subtotal cholecystectomy as regards bile duct injury and post-operative complications rates in patients with severe cholecystitis and obscure anatomy.Methods: We retrospectively reviewed the charts and postoperative outcomes of 293 patients with severe cholecystitis who underwent either laparoscopic cholecystectomy or laparoscopic subtotal cholecystectomy between September 2011 and January 2020. Patients with intraoperative altered anatomy which leaded to difficult dissection were defined as having severe cholecystitis.Results: There were 304 cholecystectomies done for patients with severe cholecystitis. Of those, 203 underwent laparoscopic cholecystectomy (LC group), 90 underwent laparoscopic subtotal cholecystectomy (LSC group). There was no significant difference in male to female ratio, age, cases performed on an elective or emergency basis, hospital length of stay or initial operative findings. There were 5 patients with detected intraoperative biliary injury in LC group only. Postoperative bile leaks were significantly higher in the LSC (11.1%) than in the LC group (3.9%). Postoperative collections which needed percutaneous aspiration were also significantly higher in the LSC group (18.9%) than in the LC group (7.4%). Reoperation for collection was required in 8 patients in LC group and in 5 patients in LSC group. The rates of retained common bile duct stones, port site hernia, wound infections, and total complications were not significantly different between the two groups (28.1% v. 45.6%).Conclusions: Our study demonstrated that laparoscopic subtotal cholecystectomy is a safe procedure which reduces the risk of bile duct injury and is comparable to laparoscopic cholecystectomy in patients with severe cholecystitis with unclear anatomy.

Single Incision Laparoscopic Cholecystectomy Is Associated With a Higher Bile Duct Injury Rate

2012 ◽  
Vol 256 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Mark Joseph ◽  
Michael R. Phillips ◽  
Timothy M. Farrell ◽  
Christopher C. Rupp
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
Single Incision ◽  
Injury Rate ◽  
Single Incision Laparoscopic Cholecystectomy

scholarly journals BILE DUCT INJURIES

2018 ◽  
Vol 21 (05) ◽  
pp. 841-844
Author(s):  
Sadia Sana ◽  
Muhammad Jawed ◽  
Ubedullah Shaikh ◽  
Shazia Ubed Shaikh
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
Open Cholecystectomy ◽  
Female Ratio ◽  
Surgical Department ◽  
Bile Duct Injuries ◽  
Laparoscopic Cholecystectomy Group ◽  
Male Female Ratio ◽  
Group B

Objective: To find out frequency of bile duct injuries during cholecystectomyprocedures either open or laparoscopic. Study design: Prospective observational study. Placeand duration of study: This study was conducted at Surgical department, Liaquat UniversityHospital Jamshoro and Dow International Hospital Karachi, from July 2012 to December2013. Methodology: This study consisted of hundred patients. Patients were divided in twogroups. Group A for open cholecystectomy (OC) comprising of 50 patients who underwentelective open cholecystectomy. Group B for Laparoscopic cholecystectomy (LC) comprisingof 50 patients who underwent elective Laparoscopic cholecystectomy. Inclusion criteria wereall patients diagnosed case of gallstones on the basis of ultrasound abdomen, any age andboth gender. Exclusion criteria included not willing for surgery, General anesthesia problem,pregnant ladies due to risk of foetal loss, carcinoma of gall bladder, stone in CBD and obstructivejaundice. Results: Out of 100 cases of gallstone were operated for either laparoscopic / opencholecystectmy. In open cholecystectomy group 20(40 % ) were male and 30(60 %) female.Ratio male: female ratio of 1:1.5. In laparoscopic cholecystectomy group 11(22 % ) were maleand 39(78 %) female with male: female ratio of 1:3.5. There was wide variation of age rangingfrom a minimum of 10 year to 70 year in both group. The mean age was 41.28+12.30 yearsfor OC group and 38.44+13.50 years for LC group (p 0.02). Common bile duct injury wereoccurred 2(4%) patients in laparoscopic cholecystectomy group while 3(6%) patients observedin open cholecystectomy group. Conclusions: We conclude that found bile duct injury 2(4%)patients in laparoscopic cholecystectomy group while 3(6%) patients observed in opencholecystectomy group

Single-incision Laparoscopic Cholecystectomy Is Associated With a Higher Bile Duct Injury Rate

2015 ◽  
Vol 261 (3) ◽  
pp. e79 ◽  
Author(s):  
Shailesh Anand Sable ◽  
Sanjay Nagral ◽  
Nilesh Doctor
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
Single Incision ◽  
Injury Rate ◽  
Single Incision Laparoscopic Cholecystectomy

Single Incision Laparoscopic Cholecystectomy Is Associated With a Higher Bile Duct Injury Rate

2015 ◽  
Vol 261 (2) ◽  
pp. e54 ◽  
Author(s):  
Sheryn W. L. Cheah ◽  
Steven Yuan ◽  
Sean Mackay ◽  
Michael Grigg
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
Single Incision ◽  
Injury Rate ◽  
Single Incision Laparoscopic Cholecystectomy

scholarly journals Early Re- Laparoscopy in Suspected Bile Duct Injuries after Laparoscopic Cholecystectomy

2021 ◽  
Vol 6 (1) ◽  
pp. 1396-1400
Author(s):  
Roshan Ghimire ◽  
Dhiresh Maharjan ◽  
Prabin Thapa
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
Bile Leak ◽  
Early Postoperative Period ◽  
Female Ratio ◽  
Medical College ◽  
Bile Duct Injuries ◽  
Definitive Repair ◽  
Operative Findings

Introduction: Management of patients with suspected bile leak or bile duct injury after laparoscopic cholecystectomy is challenging. Early laparoscopy in these groups of patients will benefit in terms of diagnostic as well therapeutic purpose. Objective: This study is done to assess utility of early re-laparoscopy in suspected bile duct injury in early postoperative period following laparoscopic cholecystectomy. Methodology: It is a descriptive study of all consecutive patients who underwent diagnostic as well therapeutic re-laparoscopy when required in suspected bile duct injury in early postoperative laparoscopic cholecystectomy that is within 72 hours of presentation. Study was conducted over a period from June 2019 to December 2020 at Kathmandu medical College, Sinamangal, Kathmandu, Nepal. Relaparoscopic operative findings and therapeutic intervention done were recorded. Result: The mean age at presentation was 34.6 years and male to female ratio was 1:1.8. During the study period, eleven patients underwent re-laparoscopy out of which one had no bile leak. Six out of ten were managed definitely in the same time of re-laparoscopy. However, four patients underwent definitive biliary reconstruction as they had already undergone arteriography in CT scan. Conclusions: Early re-laparoscopy may be beneficial prior to detail radiological investigations in suspected bile leak patients. Early re-laparoscopy can be an effective diagnostic as well therapeutic tool; and also it can help in planning for definitive repair in later date. 

scholarly journals Iatrogenic Bile Duct Injuries: An Overview and A Review of Literature

2021 ◽  
Vol 07 (01) ◽  
pp. 037-043
Author(s):  
Vinoth M. ◽  
Abhijit Joshi
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Bile Duct Injury ◽  
Surgical Procedures ◽  
Surgical Repair ◽  
Review Of Literature ◽  
Bile Duct Injuries ◽  
Iatrogenic Bile Duct Injury

Abstract​ Laparoscopic cholecystectomy (LC) is one of the most frequently performed surgical procedures worldwide. Iatrogenic bile duct injury (IBDI) is a serious complication of LC and has an incidence of 0.3 to 0.7%. Since it is associated with a significant and potentially lifelong morbidity as well as mortality, diagnosing IBDI as early as possible is of paramount importance. Management of bile duct injuries and prognosis of their surgical repair depend on the timing of its recognition, type and the extent of the injury. In this paper, we present a case of IBDI and attempt to discuss all its dimensions.

Sign in / Sign up

Export Citation Format

Share Document