Laparoscopic cholecystectomy: review of 1430 cases in Cure International Hospital, Kabul, Afghanistan (original) (raw)
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Pakistan Journal of Medical and Health Sciences, 2023
Objective: The study was aimed to-evaluate the indications and-complications-of the laparoscopic cholecystectomy at a tertiary care setting in sindh province. Background: The-hepato-biliary-system is affected by a wide range of illnesses known as gall bladder diseases, each of which has a unique clinical presentation and degree of morbidity. The majority of adult populations in Western nations are affected by cholelithiasis, which affects 5% to 25% of the adult population. Initially, people from developing nations had little access to the advantages of laparoscopic cholecystectomy. Materials and Methods: A cross sectional study was carried out at the surgical dept Chandka Medical College Hospital Larkana for a period of 6 months in 2020 which included patients who went through laparoscopic cholecystectomy were included in the study, however, the patients having a history of previous abdominal surgery, hepatobiliary carcinoma , challenges ejection fraction, patients with coagulopathies and those reactive for HbsAg or HCV antibodies were excluded from the study. Results: The mean age of the subjects was 43.8± 9.67 years. There were 93.7% of study participants were females, 18.6% were diabetic and 26.5%) were hypertensive. 41.81% patients were aged between 30 to 40 years. The indications for the cholecystectomy included Symptomatic cholelithiasis for 148 (83.62%) cases, acute cholecystitis for 24(13.56%) cases and gall bladder polyp for 5 (2.82%) cases. There were 11 (6.21%) cases which needed to be converted to open cholecystectomy. Bile leaking was reported in 8 (4.52%) cases and injury to liver/intestine were reported for 3 (1.69%) cases. Conclusion: In a setting of a developing country,-laparoscopic-cholecystectomy-looks to be a safe and-effective treatment with few complications.
Outcome of laparoscopic cholecystectomy at a secondary level of care in Saudi Arabia
Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
Background/Aim: The fi rst option for gallbladder surgery is laparoscopic cholecystectomy. The aim of this study is to analyze the outcomes for all patients who underwent laparoscopic cholecystectomy at a secondary level of care. Patients and Methods: Between 2005 and 2008, 968 consecutive laparoscopic cholecystectomies were performed at King Fahad Hospital. We collected and analyzed data including age, gender, body mass index (kg/m 2 ), the American Society of Anesthesiologists (ASA) class, mode of admission (elective or emergency), indication for LC (chronic or acute cholecystitis [AC]), co-morbid disease, previous abdominal surgery, conversion to open cholecystectomy, complications, operation time, and length of postoperative hospital stay. Results: Nine hundred and sixty-eight patients had laparoscopic cholecystectomy at the center. There were 824 females and 144 males; the age range was 15-64 (mean 32.9± 12.7 years). The operating time was 45 to 180 min (median 85 min); the complication rate was 4.03% (39 patients). Conclusion: Laparoscopic cholecystectomy could be performed safely in the majority of patients with cholelithiasis, by an experienced surgical team at a secondary level of care.
Laparoscopic Cholecystectomy: An Early Experience at A Tertiary Care Hospital in Islamabad
Journal of Community Medicine and Public Health Reports, 2020
Background: Laparoscopic Cholecystectomy first introduced in 1987, is becoming more and more popular and now it has become gold standard in symptomatic gallstone disease. The current descriptive study is carried out in Department of General Surgery, Ayub Teaching hospital, Abbottabad to evaluate the result of Laparoscopic Cholecystectomy in symptomatic gallstones disease in our set up with special emphasis on complication rate, morbidity and mortality. Methods: The data of all patients who underwent Laparoscopic Cholecystectomy form January to December 2007 was entered in standardized proforma and analysed on SPSS 10. Results: Out of 60 patients, 51 (85%) were female and 9 (15%) were males; the age range from 17 to 65 years mean age being 40.30 years, majority were in age 30-40 years group. Two (3.3%) patients had bile leak, 1 (1.3%) patient developed port site wound infection 1 (1.3%) patient developed collection in pouch of Morrison and in 1 (1.3%) patient stone were recovered from the epigastric port site wound. There was no bile duct or colonic injuries. The conversion rate was 5%. There was no mortality. Conclusion: Laparoscopic cholecystectomy is a safe and effective treatment for gall stone disease and is up to the accepted standard in our set up as compared to national and international data.
An Audit of Laparoscopic Cholecystectomy; at a Tertiary Care Hospital in Islamabad
Journal of Islamabad Medical & Dental College
Background: Laparoscopic Cholecystectomy is a commonly performed surgery and is a gold standard for the treatment of cholelithiasis as it has fewer side effects. This study was conducted to determine indications and complications of this surgery at a tertiary care hospital in Islamabad. Methodology: This retrospective study was conducted in the department of Surgery, Maroof International Hospital from March 2017 to March 2019. A total of 250 patients who underwent laparoscopic cholecystectomy were included through consecutive sampling technique. The data regarding age, gender, mode of presentation, types of presentation, per operative findings, operative complications and duration of hospital stay was collected from patients’ medical record. Statistical Package for Social Sciences SPSS version 23 was used to analyze data. Results: Mean age of the participants was 46.24 ± 14.13 years. Female to male ratio was 2.73:1. Almost 38.4% patients had chronic cholecystitis, 35.2% had symptom...
Pakistan Armed Forces Medical Journal, 2020
Objective: To compare the morbid anatomy and iatrogenic problems and complications encountered during laparoscopic cholecystectomy (LC) in both genders. Study Design: A cross sectional analytical study. Place and Duration of Study: The study was conducted at Pakistan Air Force Hospital, Islamabad, from May 2017 to Jan 2019. Methodology: All patients who underwent LC during our study period were included in the study. A predesigned proforma was used to record data. The cases were divided into two groups based on gender. The parameters studied for each group included appearance of gallbladder, intra operative bile leakage, requirement of hemostatic procedure, spillage of stones, multiplicity of stones i.e. single vs. multiple, operative time and need of drain placement. Results: A total of 120 patients were included in the study. There were 21 (17.5%) male and 99 (82.5%) female subjects. The mean age was 43.66 ± 13.8 years with range of 11-74 years. Normal looking gallbladder was more...
Laparoscopic cholecystectomy: an experience at Lady Reading Hospital, Peshawar
Journal of Ayub Medical College Abbottabad Jamc, 2010
Background: Laparoscopic Cholecystectomy originally a minimal invasive surgical technique involving less hospital stay less economical burden decreased post op complication and early mobility. The objective was to analyse data of patients undergoing laparoscopic cholecystectomy at a surgical setup. Methods: This study was conducted at the Department of Surgery, Lady Reading Hospital, Peshawar from 11th January 2006 till 10th January 2009. Patients aged above 14 year, presenting in the outpatient department with clinical and ultrasonographic evidence of cholecystitis and undergoing laparoscopic cholecystectomy were included in the study. The procedure performed was predominantly the four port technique for laparoscopic cholecystectomy. A proforma was prepared to collect preoperative, operative, and postoperative data. Operative data included the technique used and the difficulties ascertained during those procedures. Data was analysed using SPSS-13.0. Results: Of 421 patients, 387 patients fulfilled the criteria for admission to undergo the procedure. The mean age of all patients was 38.6 +/- 7.1 year ranging from 16 years to 72 year with a male to female ratio of 1:8.09. During the first six months 57 patients underwent the procedure for which the mean operating time was 67.4 min. During the last six months the mean operating time was 39.1 +/- 8.9 minutes. The overall rate of conversion of laparoscopic cholecystectomy was 6.4%. In comparison the last six months of the study showed one case (1.16%) in 86 patients being converted to open cholecystectomy. The most common cause foe conversion of the laparoscopic procedure to an open cholecystectomy was dense adhesions making dissection of the triangle of Calot's difficult. In 73 cases (21.4%) the gall bladder was perforated during dissection of gall bladder from the gall bladder bed. Conclusion: The out comes of this study during the last six months is comparable to studies conducted at more experienced centres making laparoscopic more than just an early experience in this part of the world.
Laparoscopic cholecystectomy: experience at a tertiary level hospital
Journal of Ayub Medical College, Abbottabad : JAMC
Cholecystectomy is the most frequently performed abdominal operation and currently laparoscopic cholecystectomy (LC) is considered gold standard being performed in 90% cases of symptomatic gallstones in USA since 1992. The aim of the study was to determine results obtained with LC at our setup. This observational case series study was conducted in department of General Surgery, Combined Military Hospital, Rawalpindi, from August 2009 to August 2011. The study participants were patients of both gender aged 14-75 years undergoing LC. Surgery was performed by consultant as well as resident surgeon. Demographic variables, intraoperative findings, mean operation time, hospital stay, conversion rate, morbidity and mortality were evaluated. Factors influencing rate of conversion were also studied. A total of 504 patients were included. Mean age was 42.64 years (range 14-75 years) with a female: male ratio of 3.9:1.2. Comorbidities were found in 36.7% patients. Main indication of surgery wa...
The Effects of Laparoscopic Cholecystectomy a Cross-Sectional Study
Zenodo (CERN European Organization for Nuclear Research), 2022
This paper aims to know the type of effects after laparoscopic cholecystectomy. The behaviour of surgical treatment of gallbladder diseases was determined by laparoscopic cholecystectomy. A cross-sectional study was conducted in different hospitals in Iraq, and all patients who were exposed to gallbladder disease were tributaries of surgical treatment from February 2019 to April 2020; and in this study, 110 were collected and divided into two groups (single incision laparoscopic cholecystectomy 50 patients) (conventional laparoscopic cholecystectomy 60 patients). The main risk factors for laparoscopy in our study were those related to the origin of ischemic heart disease with a total of 35 patients (31.8%) in both groups, heart valve disease and Arrhythmia in both groups for 22 patients with (20%). The Laparoscopic Cholecystectomy Visual Rating Scale has been relied on for the purpose of Data about pain and nausea-vomiting. The results showed a high severity for patients who underwent single incision laparoscopic cholecystectomy at all levels and a higher death rate for four patients compared with two patients for conventional laparoscopic cholecystectomy. We conclude from this study that conventional laparoscopic cholecystectomy is currently considered the gold standard for the purpose of obtaining fewer complications as conventional laparoscopic cholecysectomy, and it is the preferred method for doctors to laparoscopic cholecystectomy.
An Audit of Laparoscopic Cholecystectomy
Objective: To evaluate the morbidity and mortality rates in laparoscopic cholecystectomy. Material and Methods: This retrospective descriptive study was carried out in surgical "D" ward Khyber Teaching Hospital, Peshawar, from December 2012 to December 2014 in which 233 patients after fulfilling the inclusion and exclusion criteria with symptomatic gallstones disease were enrolled. Demographics, complications of surgery and conversion to open were reviewed from clinical notes and noted on a pre-designed proforma. Data were analyzed using SPSS version 16 and results compared with other studies. Results: A total of 233 patients were studied during the audit period. Of these 41(17.6%) were males and 192(82.4%) were females. Mean age of patients was 36.56±11.32 years. Mean operating time was 56.57±13.95 minutes. Complications encountered during the study include conversion to open cholecystectomy 2 (0.9%), epigastric port site bleeding 3 (1.3%) and port site infection 6(2.5%). Mean hospital stay was 3.37±2.27 days. There were no cases of umbilical port hernia, bile duct or colonic injury. No mortality was observed in our study. Conclusion: The various data collected during the audit suggest that the results of laparoscopic cholecystectomy carried in our unit are satisfactory.