A Clinico-Radiological Study to Determine the Predictive Factors for Difficult Laparoscopic Cholecystectomy
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
BACKGROUND: Pre-operative prediction of a difficult laparoscopic cholecystectomy(LC) can help the patient as well as the surgeon to prepare better for the intra-operative risk of LC and to reduce the risk of conversion to open procedure. METHODS: 65 patients who underwent LC from January 2017 to june 2018 in B S Medical College and Hospital, Bankura, were taken in this study group. For this study the pre-operative difficulty was predicted using scoring system, obtained from parameters like age, sex, BMI, severity of attack, h/o previous lower abdominal surgery and ultrasonography findings. RESULT: most of the patients in this study were between 31-45 yrs of age and majority was female. Out of 65 patients, easy LC predicted on the basis of pre-operative variables were 44. Among them 9 patients predicted to have easy LC but found to be difficult. 18 patients were predicted to have difficult LC preoperatively. Among them 2 patients were found to had easy LC.This scoring system can predict difficult cases with 89% accuracy and easy cases with 80% accuracy. CONCLUSION: Sex, BMI , severity of attack, gallbladder wall thickness are good predictive factors for preoperative assessment of difficult LC.
Authors and Affiliations
Dr Suman Singh, Dr Amit Kumar Das, Dr Arunava Ghosh
Keywords
Related Articles
- EP ID EP421677
- DOI 10.9790/0853-1712042326.
- Views 81
- Downloads 0
Malignant Mixed Mullerian Tumor of Uterine Corpus: A Rare Case Report.
Carcinosarcomas which is also known as Malignant Mixed Mullerian tumor are rare high grade neoplasms.It accounts to about 2-5% of the tumors arising from the body of uterus.Generally occuring in the post menopausal women...
Effect of Denture Cleansers on Color Stability of Different Acrylic Resin Materials
Objective: The objective of this investigation was to assess the effects of different denture cleansers and distilled water on color stability of self-polymerized (SP) and heat-polymerized (HP) acrylic denture base mater...
Seat Belt Syndrome: Must We Use Seatbelts in the 21st Century? A Case Report
Seat belt syndrome is a condition found amongst victims of motor vehicle injuries who were using seat belts at the time of the accident. It usually presents with bruises on the trunk, intestinal/ mesenteric tears, chest,...
A Study on Turn around Time (TAT) As an Indicator to Improve Laboratory Efficiency
Laboratory Turn Around Time (TAT) is commonly defined as the time from when a test is ordered until the result is reported which includes pre-analytical, analytical, post analytical time. TAT is one of the most noticeabl...
Double Trouble- Endodontic Management of a Doubly Curved Root Canal System: A Case Report
Aim: This clinical case report describes the rare occurrence of the bayonet shaped maxillary central incisor and its endodontic management. Background: Knowledge of the normal anatomy of the root canal and its variations...