scholarly journals Can All Benign Gallbladder Diseases be Managed Laparoscopically?

2017 ◽  
Vol 8 (1) ◽  
pp. 35-41
Author(s):  
Md Ezharul Haque Ratan ◽  
Hasina Alam ◽  
Md Abdul Karim
Keyword(s):  
Gall Bladder ◽  
Gall Bladder Disease ◽  
Gall Stone ◽  
Laparoscopic Approach ◽  
Diabetic Patients ◽  
Gallbladder Diseases ◽  
Bladder Disease ◽  
History Of ◽  
Additional Procedure ◽  
Operative Findings

Background: Laparoscopic cholecystectomy (LC) operation is widely practiced in gallbladder diseases. However, controversy persists for LC in acute gall bladder disease, as risk of complications appears to be greater than open procedure1. This study presents the outcome of LCs performed as the first option of treatment in benign chronic as well as acute gall bladder diseases.Methods: Twelve hundred consecutive patients of gall bladder disease, both acute and chronic, underwent cholecystectomies by a single surgeon using standard four port technique. Age, sex, diabetes, prior abdominal procedures, per-operative findings, additional procedure done and complications directly related to surgical technique were evaluated.Results: The laparoscopic approach was attempted in all patients of this series. Success rate was 99.58%. Non diabetic patients presented much earlier for surgery then diabetic patients. About one third (31.4%) of the patients had acute cholecystitis and its complications and none of them required conversion. Conversion rate was seen among those with long history of gall stone and fibrosed contracted gall bladder at ultrasonography. There were three bile duct injury cases among which two were managed laparoscopically and one needed conversion. Most of the patients (94.5%) were discharged within 20 hours of surgery. There was one mortality (0.08%) in this series.Conclusion: LC has proved to be an effective and safe day case surgical procedure for benign gall bladder pathologies and their complications. It provides much benefits with low complication and conversion in experienced hands.Birdem Med J 2018; 8(1): 35-41

scholarly journals STUDY OF GALL BLADDER DISEASE IN DIABETIC & NON DIABETIC PATIENTS

2015 ◽  
Vol 2 (42) ◽  
pp. 7484-7491
Author(s):  
Sanjeev Agarwal ◽  
Lalit Shrimali ◽  
Ritu Mehta ◽  
Joshi C P
Keyword(s):  
Gall Bladder ◽  
Gall Bladder Disease ◽  
Diabetic Patients ◽  
Bladder Disease

scholarly journals Conversion Rate from Laparoscopic to open Cholecystectomy in AL-kindy Teaching Hospital, Baghdad

2020 ◽  
Vol 15 (2) ◽  
pp. 76-81
Author(s):  
Firas M Rashid
Keyword(s):  
Risk Factors ◽  
Laparoscopic Cholecystectomy ◽  
Bile Duct ◽  
Gall Bladder ◽  
Gall Bladder Disease ◽  
Bile Duct Stone ◽  
Open Cholecystectomy ◽  
Bladder Disease ◽  
Common Causes ◽  
History Of

Background: laparoscopic cholecystectomy (LC) is getting popularity for the treating of symptomatic gall bladder disease; conversion from laparoscopic to open cholecystectomy (OC) is also common. Objective : To find out the prevalence of causes, risk factors of conversion from LC to OC among  patient suffering from gall bladder disease, and  to explore the most common causes of conversion from laparoscopic to open cholecystectomy. Methods: This prospective study was conducted in the department of general surgery at Alkindy teaching hospital from first of January 2016 to the end of December 2017 .Nine hundred twenty patient were included. Patient age, gender, history of previous abdominal scar, common bile duct stone, ERCP, duration of symptom was included in our study. Results: Seven hundreds twenty –seven patients 74.48% were females and 191  26.52% were males. The mean age of patient presented with gall bladder disease was 40.43 years. Thirty –eight patients were converted to open cholecystectomy. The most common cause of conversation was dense adhesions 42.1% - followed by bleeding 30.1%. Other common causes of conversion were biliary anomalous anatomy 10.5%, common bile injury 5%, visceral injury and technical failure  7%. Conclusion: The main perioperative cause for OC was dense adhesion around gall bladder and the male gender, increasing age, history of common bile duct stone removed by previous ERCP, history of previous surgery, are independent risk factors of difficult laparoscopic cholecystectomy.  

Incidence of Gall Bladder Disease in “Normal” Men

1959 ◽  
Vol 36 (2) ◽  
pp. 251-255 ◽  
Author(s):  
Richard S. Wilbur ◽  
Robert J. Bolt
Keyword(s):  
Gall Bladder ◽  
Gall Bladder Disease ◽  
Bladder Disease ◽  
Normal Men

Laparoscopic Cholecystectomy in Acute Gall Bladder Disease

1970 ◽  
Vol 24 (1) ◽  
pp. 10-13
Author(s):  
TK Maitra ◽  
NA Alam ◽  
E Haque ◽  
MH Khan ◽  
HK Chowdhury
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gall Bladder ◽  
Acute Cholecystitis ◽  
Early Phase ◽  
Gall Bladder Disease ◽  
Laparoscopic Procedure ◽  
Bladder Disease ◽  
Complication Of Surgery

Laparoscopic cholecystectomy is one of the procedures through which gall bladder can be removed. Acute cholecystitis was considered a contraindication for laparoscopic procedure but with time and experience this shortcoming is now overcome. Here is a study of 32 patients who were selected for laparoscopic cholecystectomy. Among them, 29 patients were operated by laparoscopic method and rest three patients were converted. This study showed the appropriate time for surgery, technical difficulties and the complication of surgery. It may be concluded that laparoscopic cholecystectomy is feasible and beneficial to the patient with acute cholecystitis in its early phase, if necessary support and expertise is available. (J Bangladesh Coll Phys Surg 2006; 24: 10-13)

The fatty meal and acalculous gall-bladder disease

1984 ◽  
Vol 35 (5) ◽  
pp. 405-408 ◽  
Author(s):  
Bharat Gajjar ◽  
Brendan Twomey ◽  
Gerald de Lacey
Keyword(s):  
Gall Bladder ◽  
Gall Bladder Disease ◽  
Fatty Meal ◽  
Bladder Disease
Sign in / Sign up

Export Citation Format

Share Document