Aim: To evaluate the outcome of single versus four port laparoscopic cholecystectomy. Methods: This randomized control trial was conducted from 1 st April 2015 to 30 th September 2015 in the Department of Surgery, Bolan Medical Complex Hospital Quetta. A total of 100 cases (50 in each group) were enrolled in the study with aged between 20 and 70 years and both sexes undergoing laparoscopic chol...

BACKGROUND After its introduction, laparoscopic cholecystectomy rapidly expanded around the world and was accepted the procedure of choice by consensus. However, analysis of evidence shows no difference regarding primary outcome measures between laparoscopic and small-incision cholecystectomy. In absence of clear clinical benefit it may be interesting to focus on the resource use associated wit...

BACKGROUND The main cause of acute cholecystitis (AC) is gallstones, and the incidence of gallstones in elderly patients is high. METHODS In this study, we aimed to investigate the efficacy of percutaneous cholecystostomy (PC) before early cholecystectomy in geriatric patients with AC. This retrospective study included 85 patients undergoing laparoscopic or conventional cholecystectomy during...

BACKGROUND Up to 33 per cent of patients with uncomplicated symptomatic cholecystolithiasis report persistent pain after cholecystectomy. The aim of this study was to determine characteristics associated with patient-reported absence of abdominal pain after cholecystectomy, improved abdominal symptoms, and patient-reported positive cholecystectomy results in a prospective cohort multicentre stu...

OBJECTIVES To report our results from a first human use clinical study with the da Vinci Surgical single-site instrumentation in patients with gallbladder disease and to perform a retrospective comparison with traditional multiport laparoscopic cholecystectomy. DESIGN Ten patients underwent robotic single-port cholecystectomy performed with the da Vinci Si robot and novel da Vinci single-site...

Early cholecystectomy for patients with acute cholecystitis is safe, cost effective, and leads to less time off work compared with delayed surgery. This study was designed to assess current practice in the management of acute cholecystitis in the UK. A postal questionnaire was sent to 440 consultant general surgeons to ascertain their current management of patients with acute cholecystitis. Rep...

BACKGROUND Gossypiboma is the term for forgotten textile products such as a surgical sponge and compress in the body cavity after a surgical procedure. OBJECTIVES The aim of this study was to evaluate previously published articles related to post cholecystectomy gossypiboma. MATERIALS AND METHODS We conducted a systematic search using PubMed, Medline, Google and Google Scholar on post chole...

Single-incision laparoscopic surgery (SILS) offers an approach to cholecystectomy without visible evidence that the cholecystectomy occurred.9 Cosmesis is the only documented benefit of the single-incision laparoscopic cholecystectomy (SILC), while SILC remains equivalent to multi-incision laparoscopic cholecystectomy (MILC) in all other respects.14 We report our experience of performing SILC w...

Seventy two patients (39 women) with colonic adenomas were compared with 72 adenoma free controls (39 women) to investigate the possible association between previous cholecystectomy and the subsequent development of adenomas. Data were gathered retrospectively from medical records. Overall there was no significant association between colonic adenomas and previous cholecystectomy. When women are...