Preoperative prediction of a difficult laparoscopic cholecystectomy: Experience at our medical college in Mewat region, Faridabad
Harish Kumar Khurana, Sandhya Khurana
Introduction: Laparoscopic Cholecystectomy is the gold standard treatment for the management of benign gall stone disease. In this study we share our experience of laparoscopic Cholecystectomies done in a single unit in our medical college the difficulties encountered & complications faced to establish a correlation between pre & intraoperative variables & degree of difficulty in surgery resulting in increased duration of surgical procedure and possible conversion to open cholecystectomy. Methods: All laparoscopic Cholecystectomies done for benign gall stone disease in a single unit in department of General surgery in our medical college from November’2019 to June’2021(18 months) 100 cases were evaluated & preoperative & intraoperative variables were assessed Results: A total of 100 patients were evaluated out of which 81 were females. We found that: Impacted stone at GB neck BMI > 25 kg/m.square: Intraoperative complications like cystic artery bleeding were significant factors & increased the duration of surgery (from 40 to 60 minutes whereas aberrant anatomy & male gender were inconsequential in our study. Discussion: After studying these 100 cases we could find some reliable correlation between the preoperative and intraoperative findings & the difficult laparoscopic Cholecystectomy so that the surgeon beforehand knows about the difficult procedure and is prepared for it though there’s a need to further explore & find some more strong evidence to predict a forthcoming difficult laparoscopic Cholecystectomy and its possible conversion to open cholecystectomy.
Harish Kumar Khurana, Sandhya Khurana. Preoperative prediction of a difficult laparoscopic cholecystectomy: Experience at our medical college in Mewat region, Faridabad. International Journal of Surgery Research, Volume 4, Issue 1, 2022, Pages 23-27