Open Access Open Access  Restricted Access Subscription Access

DIFFICULTIES IN DOING LAPAROSCOPIC CHOLECYSTECTOMY IN ACUTE CHOLECYSTITIS

Ramendranath Talukdar, Sanjeew K. Chowdhary, G. H. Hussain Mir

Abstract


80 case of acute cholecystitis was operated laparoscopically within 72 hours and also in cases reporting later than 72 hours with or without lump. All cases except five could be successfully operated laparoscopically though with some difficulties in some cases. 5 cases required open conversion (6.75%). The complication rate was a little higher (22.5%) with major complications like bile leak in 2 cases and umbilical port hernia in one case.


Keywords


Acute cholecystitis, Laparoscopic cholecystectomy, Bile-leak, Cholecystitis, Cholecystectomy, Laproscopy.

Full Text:

PDF

References


Banz V, Gsponer T, Candinas D, and Guller U. (2011). “Population-based analysis of 4113 patients with acute cholecystitis: defining the optimal time-point for laparoscopic cholecystectomy”, Ann Surg, Vol.254, pp.964-970.

Chandler CF, Lane JS, Ferguson P, Thompson JE, and Ashley SW. (2000). “Prospective evaluation of early versus delayed laparoscopic cholecystectomy for treatment of acute cholecystitis”, Am Surg, Vol.66, pp.896-900.

Cox MR, Wilson TG, Luck AJ, Jeans PL, Padbury RT, and Toouli J. (1993). “Laparoscopic cholecystectomy for acute inflammation of the gallbladder”, Ann Surg, Vol.218, pp.630-634.

Elder S. (1997). “Laparoscopic cholecystectomy for acute cholecystitis – a prospective trial”, World J Surg, Vol.21, pp.5-7.

Fontes PR. (1998). “Is acute cholecystitis a clinical indication for laparoscopic cholecystectomy”, Int Surg, Vol.83, pp.28-30.

Kwon YJ, Ahn BK, Park HK, Lee KS, and Lee KG. (2013). “What is the optimal time for laparoscopic cholecystectomy in gallbladder empyema?”, Surg Endosc, Vol.27, pp.3776-3780.

Lo CM, Liu CL, Fan ST, Lai EC, and Wong J. (1998). “Prospective randomized study of early versus delayed laparoscopic cholecystectomy for acute cholecystitis”, Ann Surg, Vol.227, pp.461-467.

Menahem B, Mulliri A, and Fohlen A, et al. (2015). “Delayed laparoscopic cholecystectomy increases the total hospital stay compared to an early laparoscopic cholecystectomy after acute cholecystitis: an updated meta-analysis of randomized controlled trials”, HPB (Oxford), Vol.17, pp.857-862.

Miller RE, and Kimmelsteil FM. (1993). “Laparoscopic cholecystectomy for acute cholecystitis”, Surg Endosc, Vol.7, pp.296-299.

Mir GH, Bhat SA, Khan T, Wani MA, Mailk AA, Wani KA, and Mir TA. (2017). “Conversion of laparoscopic cholecystectomy to open cholecystectomy: an analysis in a high risk group of patients”, Journal of universal surgery, Vol.5(3):19, pp.1-4.

Ohta M, Iwashita Y, Yada K, Ogawa T, Kai S, Ishio T, Shibata K, Matsumoto T, Bandoh T, and Kitano S. (2012). “Operative Timing of Laparoscopic Cholecystectomy for Acute Cholecystitis in a Japanese Institute”, Journal of the Society of laparoendoscopic Surgeons, JSLS, Jan-Mar, Vol.16(1), pp.65-70.

Rattner DW, Ferguson C, and Warshaw AL. (1993). “Factors associated with successful laparoscopic cholecystectomy for acute cholecystitis”, Ann Surg, Vol.217, pp.233-236.

Shikata S, Noguchi Y, and Fukui T. (2005). “Early versus delayed cholecystectomy for acute cholecystitis: a meta-analysis of randomized controlled trials”, Surg Today, Vol.35, pp.553-560.

Strasberg SM. (2008). “Clinical practice. Acute calculous cholecystitis”, N Engl J Med, Vol.358, pp.2804-2811.

Weisen SM, Unger SW, and Barkin JS. (1992). “Laparoscopic cholecystectomy: The procedure of choice for acute cholecystitis”, Am J Gastroenterol, Vol.88, pp.334-337.

Zucker KA, Flowers JL, Bailey RW, Graham SM, Buell J, and Imbembo AL. (1993). “Laparoscopic management of acute cholecystitis”, Am J Surg, Vol.165, pp.508-514.


Refbacks

  • There are currently no refbacks.


Send mail to ijsss@ijsss.com with questions or comments about this web site. 

International Journal of Surgery and Surgical Sciences, All rights reserved.