Prediction of Difficult Laparoscopic Cholecystectomy Based on Assessment of Gall Bladder Stone Size
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 3
Abstract
Background: Laparoscopic cholecystectomy has changed the treatment protocol of the patients with gallbladder stones drastically. On the basis of ultrasound findings, surgeons can select the cases appropriate for their skills aiming at reducing operative complications and minimizing the waste of operating time available. In patients undergoing laparoscopic cholecystectomy, presence of some of the reliable predictive factors conversion or complications will be extremely useful. Hence, we planned the present study to assess the gall bladder stone size as a predictor of difficult Laparoscopic Cholecystectomy. Materials & Methods: The present study included prospective assessment of the patients that reported with the chief complaint of symptomatic Gallstone Disease from 2014 to 2015. After clinical assessment, routine investigations and abdomen ultrasonography, elective surgery was performed in all the patients. A total of 112 patients were included in the present study. Recording of the complete demographic details of the patients, along with the detailed record of all the haematological parameters and results of other biochemical functional tests was done before starting of the surgery. All the records were separately recorded and analyzed by SPSS software. Results: Cases with single large gallstone >20mm had higher rate of conversion to open cholecystectomy. Conversion rate amongst cases with contracted gall bladder was 66.6% and without contracted gall bladder was 8.4% Gall bladder wall thickness >4mm had higher rate of conversion to open cholecystectomy. Sensitivity was 95.9%, positive predictive value was 91.3% and p value was 0.006. Conclusion: Single large gallstone and gall bladder wall thickness are risks factors and predictors for conversion to open cholecystectomy.
Authors and Affiliations
Ashwani Kumar, Sarabjit Singh, Ashish Chhabra
Keywords
Related Articles
- EP ID EP547797
- DOI 10.21276/ijmrp.2017.3.3.016
- Views 81
- Downloads 0
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