Background: Visceral and shoulder painare among the most frequent reported pain after laparoscopic cholecystectomy (LC). Objectives: To investigate effectiveness clinical value of rectal indomecthacin and  intraperitoneal lidocaine  for treating cholecystectomy. Patients methods: In Qena university hospital, this prospective randomized comparative study was conducted, 80 patients were schedul...

The use of on table cholangiogram (OTC) during laparoscopic cholecystectomy (LC) continues to be a debated topic within surgical practice. Current National Institute for Health and Care Excellence (NICE) guidelines do not advocate its routine use in adult patients, and there is scarce evidence for its use in paediatric cases. We aimed to analyse the outcomes of OTC during laparoscopic cholecyst...

Introduction Percutaneous cholecystostomy (PC) has been used as a relatively safe and efficient temporising measure in the treatment of acute cholecystitis (AC) in high-risk patients with serious co-morbidity and in elderly patients. Aim To assess the effectiveness, possible advantages, and complication of delayed laparoscopic cholecystectomy (LC) following PC in patients with AC. Material ...

Abstract Introduction PC is a radiological intervention used in the management of high-risk patients with AC. Method A retrospective study outcomes following PC, including success rates, complications, AC resolution, readmissions, and subsequent cholecystectomy. Results Our database identified 28 (14M:14F), median age 73 (range 40-93). 82% were ASA III/IV. Median follow-up was 2 0-8) years. Ima...

Laparoscopic cholecystectomy (LC) is the preferred surgical treatment for symptomatic gallstones. The laparoscopic procedure is superior to the open approach in many aspects. Intraperitoneal spillage of bile and gallstones is one of the most common accidental occurrences of LC. We present a case of a 53-year-old woman who developed two abscesses--one intra-abdominally and one in the abdominal w...

Laparoscopic cholecystectomy (LC) has become the ‘gold standard’ for symptomatic gallstones. Although the overall complication rate after LC is less than the traditional open approach, intra-abdominal abscesses following LC are rarely encountered. Also, intra-operative stone spillage and dropping of the surgical clips do occur. An abscess secondary to a dropped surgical clip is an uncommon even...

HYPOTHESIS Early laparoscopic cholecystectomy (LC) results in a shorter length of stay and acceptable conversion and complication rates when compared with antibiotic therapy plus interval LC or percutaneous cholecystostomy in patients admitted to a surgical service because of acute cholecystitis. However, actual practice does not conform to current evidence. DESIGN Retrospective cohort study....

Background. Day-case laparoscopic cholecystectomy (LC) is a safe and cost-effective treatment for gallstones. In 2006, our institution recorded an 86% laparoscopic, 10% day-case, and 5% readmission rate. A gallbladder pathway was therefore introduced in 2007 with the aim of increasing daycase rates. Methods. Patients with symptomatic gallstones, proven on ultrasound, were referred to a speciali...

Objective: This study was carried out to assess and compare patient satisfaction, scar pain cosmesis between open laparoscopic cholecystectomies.Study design: Prospective Comparative observational studyPlace duration of study: Guwahati Medical College Hospital (GMCH) Mahendra Mohan Choudhury hospital (MMCH) May 2014 Nov 2017 Methodology: A total 500 patients from each group who had undergone ch...

backgrounds: there are controversies among surgeons about prophylaxis of deep vein thrombosis (dvt) in laparoscopic cholecystectomy. the aim of this study was the assessment of patients’ condition after laparoscopic cholecystectomy without any prophylactic measure. methods: 100 cases of laparoscopic cholecystectomy without dvt prophylaxis were followed by duplex scanning in the first postoperat...