A prospective study of radical cholecystectomy for gallbladder carcinoma
Journal Title: Surgical Update: International Journal of Surgery and Orthopedics - Year 2017, Vol 3, Issue 1
Abstract
Background: Gallbladder cancer tends to be an aggressive tumor that spreads early and leads to rapid death. The clinical pessimism surrounding gallbladder cancer is because of its late presentation and lack of effective therapy. Definitive resection for Gallbladder cancer depends on stage and location of the tumour as well as whether it is repeat resection after a previous simple cholecystectomy. Serious problems soon after surgery can include bile leakage into the abdomen, infections, and liver failure. Material and Methods: From the report of Hospital Based Cancer registry (HBCR) of CNCI information regarding all cancer cases were collected and analyzed to find the proportion of cancer in gall bladder cases. Patients for this study was selected from the patients who undergone radical cholecystectomy for gall bladder carcinoma. Morbidity and mortality of the patient were observed within 30 days of procedure. Results: Proportion gall bladder cancer cases for male and female was 3.7% and 8.94% respectively and overall proportion observed was 6.28%. The incidence of wound infection was higher in diabetics than non diabetics in patients undergoing CRS (15.4 vs. 11.0%, P < 0.001) and patients undergoing GS (5.3 vs. 3.1%, P < 0.001). Bile leakage is common with patients undergone common bile duct resection. Among 6 patients underwent CBD resection, 4 patients had <50ml bile leakage post operatively. Out of 30 patients, one hypertensive patient developed acute myocardial infacrtion.10 % patient had suffered major bleeding and given 3units of blood. The mean number of post-operative blood transfusion of the patients was 1.83±0.59 units with range 1-3 units. Conclusion: Proportion gall bladder cancer observed was 6.28%. As radical cholecystectomy is a major procedure, we encountered few post operative complications like bleeding, septicemia wound infection, bile leak etc.
Authors and Affiliations
Santu Kumar Chejara, Subrat Kumar Sahu, Ranjana Giri
Keywords
Related Articles
- EP ID EP264623
- DOI 10.17511/ijoso.2017.i1.03
- Views 237
- Downloads 0
Diagnostic laparoscopy in chronic abdominal diseases
Objectives: To establish an early diagnosis of the diseases where clinical findings are unreliable, with additional information about extent, nature, morbid changes and operability of the diseases andto establish that la...
Orthopedic surgery: Beware of 10 intra operative nightmare situations other than common medico-surgical complications
Orthopedics is considered an art of jugglery and carpentry. There are so many technical and situational difficulties other than medico-surgical complication and still challengingly unique of surgeries pertaining to ortho...
Comparative study of radiological and clinical outcomes by using single and double interlocking distal screws for humerus shaft fractures
Background: The aim of this study was to make a comparative analysis of radiological and clinical outcomes of using either one or two interlocking distal screws on ahumerus intramedullary nail for the internal fixation o...
Evaluation of tibial tray coronal plane alignment in total knee replacement using intramedullary JIG-a prospective study
Introduction: Long term survivorship in total knee replacement [TKR] is significantly dependant on prosthesis alignment. In a standard total knee replacement, tibial component alignment is a key factor for the long-term...
A study of Diagnosis and surgical management of pancreatic insulinoma
Introduction: Insulinomas are the most common functioning neuroendocrine tumors of the pancreas, occurring in almost 1-4 per 1 million persons each year. They pose a challenge for pre-operative localization. Many invasiv...