Background: In Nepal, it is quite common to find patients with large stone burden and thick gallbladder wall which often leads to incision extension. We have used this extended incision to our advantage. The present technique of two port laparoscopic cholecystectomy not only helps overcoming the specimen extraction difficulties but also contributes to better cosmesis. Patients and methods: A to...

BACKGROUND A common intraoperative complication during laparoscopic cholecystectomy is gallbladder perforation with spillage of gallstones. The undesirable consequence of spilled gallstones is the formation of abscesses months or years after an operation. CASE DESCRIPTION Our clinical report describes an intraabdominal abscess formation in an 82-year-old man that developed 8 years after a lap...

BACKGROUND In standard or conventional cholecystectomy gallbladder is approach through a subcostal incision of 7-10 Cm. New technique and procedures have evolved, aiming at decreased tissue damage, pain, hospital stay and complications. This study was conducted to assess cholecystectomy through 5 Cm mini-laparotomy. METHODS This study was conducted at Department of General Surgery, Ward-26, J...

BACKGROUND AND OBJECTIVES Evidence is increasing that single-port or single-incision laparoscopic cholecystectomy is a safe and feasible alternative for cholecystectomy in children. In this study, we sought to compare the single-port hybrid technique, which we originally reported in 2012, with the conventional 4-port approach, in regards of complications, outcome, operative time and cost. MET...

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 and Aims. We describe our experience of performing transumbilical single-incision laparoendoscopic cholecystectomy as standard procedure for acute and chronic gallbladder diseases. Methods. Between September 2008 and March 2010, 220 patients underwent laparoscopic single-incision surgery. A single port was used for 196 patients and two conventional 5 mm and one 10 mm port in 24 cases...

BACKGROUND AND AIM Umbilical hernia frequently accompanies cholelithiasis. It is possible to repair these hernias after completing cholecystectomy. We herein describe a simple modified technique for the repair. PATIENTS AND METHOD The technique was applied to 10 patients undergone laparoscopic cholecystectomy. After cholecystectomy has been performed, periumbilical trocar incision is extended...