A comprehensive predictive scoring method for difficult laparoscopic cholecystectomy

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Preoperative Prediction of Difficult Laparoscopic Cholecystectomy: A Scoring Method

BACKGROUND Laparoscopic cholecystectomy (LC) has become the procedure of choice for management of symptomatic gallstone disease. At times, it is difficult and takes longer time or has to be converted to an open procedure. This study is undertaken to determine the predictive factors for difficult LC. AIM The aim was to evaluate a scoring method to predict difficult LC preoperatively. MATERIA...

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Difficult Laparoscopic Cholecystectomy: Role of Ultrasonography

Introduction: Laparoscopic cholecystectomy (LC) is now the standard procedure for the treatment of symptomatic gallbladder stones. Although laparoscopic cholecystectomy has numerous advantages it has increased risk of injury to common bile duct, duodenum, bowel, iliac vessels, high conversion rate in acute cholecystitis and difficulty in management of simultaneous CBD stones. Ultrasonography is...

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Risk Factors for Difficult Laparoscopic Cholecystectomy in Acute Cholecystitis

BACKGROUND AND OBJECTIVES Factors that contribute to difficult laparoscopic cholecystectomy (LC) in acute cholecystitis (AC) that would affect the performance of early surgery remain unclear. The purpose of this study was to identify such risk factors. METHODS One hundred fifty-four patients who underwent LC for AC were retrospectively analyzed. The patients were categorized into early surger...

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Difficult laparoscopic cholecystectomy : A large series from north India

Background: Laparoscopic cholecystectomy (LC) has become the gold standard for gallstone disease. We present one of the largest series of LC from the high prevalence area of gallstone disease. Aim: To analyze the single-center experience with respect to conversion rate and complication rate. Settings and Design: Retrospective observational study. Materials and Methods: Data of all the patients ...

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OBJECTIVES This study aimed to show that subtotal laparoscopic cholecystectomy (SLC) is a safe procedure that reduces the rate of conversion in patients with difficult laporoscopic cholecystectomies in resource-meagre settings. PATIENTS AND METHODS Following informed consent, patients with gallstones reporting to Atbara Medical Centre, Atbara, Northern Sudan from February 2012 to July 2013 we...

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ژورنال

عنوان ژورنال: Journal of Minimal Access Surgery

سال: 2014

ISSN: 0972-9941

DOI: 10.4103/0972-9941.129947