BACKGROUND Laparoscopic common bile duct exploration (LCBDE) for stone can be carried out by either laparoscopic transcystic stone extraction (LTSE) or laparoscopic choledochotomy (LC). It remains unknown as to which approach is optimal for management of gallbladder stone with common bile duct stones (CBDS) in Chinese patients. METHODS From May 2000 to February 2009, we prospective treated 34...

BACKGROUND Management of patients with severe acute cholecystitis (AC) remains controversial. In settings where laparoscopic cholecystectomy (LC) can be technically challenging or medical risks are exceedingly high, surgeons can choose between different options, including LC conversion to open cholecystectomy or surgical cholecystostomy tube (CCT) placement, or initial percutaneous CCT. We revi...

postoperative nausea and vomiting (ponv) are one of the most common complications of anesthesia and without prophylactic intervention occurs by about one-third of patients under general anesthesia. the aim of this study was to compare the efficacy of ondansetron and metoclopramide in reducing ponv after laparoscopic cholecystectomy. in this study, 60 patients undergoing laparoscopic cholecystec...

background post laparoscopic cholecystectomy pain management can reduce recovery and discharge time. non-steroidal anti-inflammatory drugs and opioids are used for this purpose. objectives this randomized clinical trial evaluates the efficacy of diclofenac rectal suppository for the management of postoperative pain. patients and methods forty four patients were randomized to receive either 100 ...

BACKGROUND Surgery for cholelithiasis is more common in ageing patients. The use of laparoscopic cholecystectomy (LC) in older patients may pose problems because of the comorbid conditions that are concomitant with advanced age and may increase the postoperative LC complications and the frequency of conversion to open surgery. The purpose of this study was to evaluate the outcome of LC in the t...

INTRODUCTION Sir Alfred Cuschieri,in 1990,hailed laparoscopic cholecystectomy (LC) as the beginning of a new, exciting era, but alerted surgeons to be cautious so as to avoid a substantial surgically induced morbidity. Twenty five years later, the small increase in the rate of iatrogenic major biliary injury is tolerated, thanks to the great benefits of this minimally invasive approach. Indeed ...

conclusions dexamethasone 8mg is a better anti-emetic agent than metoclopramide for the prevention of post-operative nausea and vomiting after laparoscopic cholecystectomy. objectives this study evaluates the prophylactic anti-emetic effect of dexamethasone in comparison with metoclopramide and placebo for the prevention of post-operative nausea and vomiting in patients undergoing elective lapa...

Introduction: Gall bladder remnant and cystic duct stump calculi are reality in the era of Laparoscopic Cholecystectomy (LC). Despite a seemingly uneventful cholecystectomy, nearly 15% patients continue to have biliary symptoms; post-cholecystectomy syndrome (PCS); which can manifest anytime from few days several years after surgery This study aims assess safety feasibility exploration gallblad...

OBJECTIVE Although many surgeons advocate early laparoscopic cholecystectomy (LC) in acute cholecystitis, debate still exists regarding its optimal timing. This study compares the outcome of LC performed within and after 72 hours of admission in patients with acute cholecystitis. METHODS Between January 2001 and December 2006, LC was performed in 196 consecutive patients with acute cholecysti...

The incidence of vascular injury remains a problematic complication of laparoscopic cholecystectomy, due to the anatomic variations of the cystic artery. Therefore, the focus of this study was to investigate the origin, course, and termination of the cystic artery using dual source computed tomography. Currently, laparoscopic cholecystectomy (LC) has emerged as a golden standard in the treatmen...