Objective: To assess the rate and causes of conversion of laparoscopic to open cholecystectomy (OC) in 450 patients who underwent laparoscopic cholecystectomy (LC) by the same surgeon in tertiary care teaching hospitals. Study Design: Descriptive study. Place and Duration of Study: The study was conducted initially at Pakistan Navalship (PNS) Shifa, Karachi and later at Combined Military Hospit...

The purpose of this study was to investigate the effect of laparoscopic surgery on liver function in humans and the possible mechanisms behind such effect. Blood samples from 30 patients who underwent laparoscopic cholecystectomy (LC) and 20 patients who underwent open cholecystectomy (OC) were tested for liver function by measuring the level of serum alanine aminotrasferase (ALT) and aspartate...

evidence acquisition a systematic literature searching of databases medline, embase, and google scholar was done from 1982 and updated in december 2015. search terms were “cholecystectomy”, “laparoscopic cholecystectomy”, “four port laparoscopic cholecystectomy”, “single-incision laparoscopic surgery”. context laparoscopic approach with its several techniques has become the standard method for ...

BACKGROUND There still exist some concerns about the desirability of laparoscopic surgery in lower-middle income countries. We recently adopted laparoscopy for common general surgical procedures and observed many benefits. This study aims to describe the changing rate of cholecystectomy before and after the introduction of laparoscopy in our hospital. METHODS We reviewed the records of cholec...

Abstract Introduction Common bile duct (CBD) stones are detected in approximately 10-15% of patients with gallstone disease. They can be formed the absence gallbladder or who underwent previous cholecystectomy. Laparoscopic common exploration has been documented since 1999, increasing evidence illustrating effectiveness transcystic approach. There is no review re-exploration CBD, due to retaine...

OBJECTIVES Intestinal ischemia is a rarely reported complication following laparoscopic cholecystectomy. We describe a case of massive small intestinal necrosis 3 days following this procedure. An autopsy determined the cause to be splanchnic hypoperfusion, likely due to the physiologic changes induced by the pneumoperitoneum necessary to conduct the surgery. We sought to determine whether all ...

BACKGROUND Laparoscopic cholecystectomy (LC) has been a standard operation and replaced the open cholecystectomy (OC) rapidly because the technique resulted in less pain, smaller incision, and faster recovery. This study was to evaluate the value of blunt dissection in preventing bile duct injury (BDI) in laparoscopic cholecystectomy (LC). METHODS From 2003 to 2015, LC was performed on 21,497...

Laparoscopic cholecystectomy (LC) was first described in 1988 by Reddick, Dubois, and Perissat. With improvement in laparoscopic instrumentation and increased expertise of surgeons, LC has rapidly become the procedure of choice for the treatment of symptomatic cholelithiasis. Unfortunately, LC is associated with a higher rate of complication than open cholecystectomy. The incidence of extrahepa...

In order to strike the most favorable balance between health benefits and costs, three treatment modalities for symptomatic cholelithiasis were compared in a cost-effectiveness study: extracorporeal shock-wave lithotripsy (ESWL), conventional cholecystectomy (CC), and laparoscopic cholecystectomy (LC). Data were analyzed from 55 patients who were treated by ESWL, 45 patients who had CC, and 47 ...

BACKGROUND Pre-operative prediction of a difficult laparoscopic cholecystectomy (LC) can help the patient as well as the surgeon prepare better for the intra-operative risk and the risk of conversion to open cholecystectomy. METHODS In 105 eligible patients who underwent LC during May 2001 to January 2003, patient characteristics, clinical history, laboratory data, ultrasonography results and...