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...

Background: Knowing the conversion risk factors of laparoscopic cholecystectomy to open surgery, helps the surgeon to plan for surgery accordingly. This study aimed to determine the risk factors for converting laparoscopic cholecystectomy to open surgery. Methods: In this analytical study, the case information of 1104 patients who underwent laparoscopic cholecystectomy in Shahid Beheshti Hospi...

Background: Cholecystectomy is one of the most common abdominal surgeries and its preferred method is laparoscopy. The difficulty of laparoscopic cholecystectomy in diabetic patients is not clear and the preferred method of cholecystectomy in these patients is still under controversy. Therefore, this study was performed to evaluate the difficulty of laparoscopic cholecystectomy in diabetic and ...

BACKGROUND The cholecystokinin provocation test (CCKPT) has been claimed to predict a better symptomatic result after cholecystectomy in patients with acalculous biliary pain. AIMS To examine the predictive value of the CCKPT for symptom relief after cholecystectomy in both CCKPT positive and negative patients. PATIENTS AND METHODS Fifty eight patients with acalculous biliary pain underwent...

Introduction: Laparoscopic cholecystectomy, the gold standard treatment for symptomatic cholelithiasis, has also brought to light a new range of uncommon complications unheard with open cholecystectomy. Case Series: This case series is a compilation of five rare complications unique to laparoscopic cholecystectomy. Conclusion: Knowledge about such complications and application of preventive mea...

INTRODUCTION Sphincter of Oddi dysfunction (SOD) is a benign acalculous obstruction to the flow of biliopancreatic secretions through the sphincter of Oddi (1,2). In the general population, its prevalence is 1.5% (3). It is one of the known causes of post-cholecystectomy syndrome, and is observed in 14%–23% of these patients (4,5). The post-cholecystectomy syndrome can loosely be defined as a p...

This survey determined the effect of the introduction of laparoscopic cholecystectomy on the rates ofcholecystectomy (total and laparoscopic) in Scotland. From 1977 to 1990, the Scottish cholecystectomy rate fell by an average ofalmost 1% per annum. With the advent of laparoscopic cholecystectomy, the total cholecystectomy rate (open and laparoscopic) rose considerably by 18.7% from 1989-93 (p<...

HYPOTHESIS Tube cholecystostomy followed by interval laparoscopic cholecystectomy is a sale and efficacious treatment option in critically ill patients with acute cholecystitis. DESIGN Retrospective cohort study within a 4 1/2%-year period. SETTING University hospital. PATIENTS Of 324 patients who underwent laparoscopic cholecystectomy, 65 (20%) had acute cholecystitis; 15 of these 65 pat...

BACKGROUND & AIMS Inflammatory bowel diseases (IBD) and cholecystectomy are associated with the risk of colorectal cancer (CRC). Our aim was to determine the association between cholecystectomy and the CRC risk in IBD. METHODS We first obtained the Taiwan National Health Insurance Research Database (NHRID), which contains information on approximately 24.7 million insured individuals. A cohort...