OBJECTIVE To evaluate the role of laparoscopic cholecystectomy in acute cholecystitis and establish the outcomes of this treatment modality at North Oakland Medical Centers. METHODS This was a retrospective analysis over a three-year period (January 1, 1994 to December 31, 1996), performed at a University-affiliated urban teaching hospital, North Oakland Medical Centers, Pontiac, Michigan. Fi...

Cholecystitis presents as acute or chronic. Severity of cholecystitis depends on several factors.  Aim of this study was to evaluate severity of laparoscopic cholecystectomy findings based on gender type. In a retrospective and epidemiological study, a total of 101 patients who were underwent laparoscopic cholecystectomy were selected from 2001 to 2006 in university affiliated hospitals of Ahwa...

A policy of preoperative endoscopic retrograde cholangiography (ERC) for suspected bile duct stones was used in 1507 patients considered for laparoscopic cholecystectomy in three district general hospitals. Altogether 306 patients underwent ERC, and bile duct cannulation was achieved in 276 (90%). Bile ducts were cleared by endoscopic sphincterotomy in 128 of 161 patients (79%) with proven duct...

INTRODUCTION: Mouret introduced laparoscopic cholecystectomy in 1987. It has rapidly replaced open cholecystectomy as the standard treatment (1) and considered The Gold standard treatment for symptomatic gallstone disease (2) Laparoscopic cholecystectomy showed higher benefits for patients with lower prevalence of postoperative complications, feeding earlier, shorter mean hospital stay and equi...

Context: Cholecystectomy is the most commonly performed operation by general surgeons worldwide and the lesser invasive technique i.e. the laparoscopic cholecystectomy is the preferred operative technique both for the patient as well as for the surgeon. Conventionally laparoscopic cholecystectomy is performed by using three or four ports of various sizes. As cosmesis is an important aspect of l...

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...

results sixty patients completed the study. patients in the hydrocortisone group had no statistically significant abdominal and shoulder pain scores compared to the bupivacaine group. the patients were similar regarding postoperative analgesic requirements, return of bowel function, nausea and vomiting. no adverse effect was detected in either group. background postoperative pain is a major com...

Laparoscopic cholecystectomy has become gold standard for cholecystectomy. The tendency of minimizing surgical trauma encourages the use of new approaches in laparoscopic surgery. Single incision laparoscopic surgery (SILS) cholecystectomy was first performed ten years ago; however, it is only recent technologic development that has enabled its wider acceptance. We report on a case of a 69-year...

.. Introduction: Acute biliary pancreatitis is a serious complication of biliary calculous disease and is associated with significant morbidity and mortality. Incidence is more often in females and cause is the gall stones in majority of the cases. Definitive treatment is cholecystectomy and with the advancement of minimal invasive surgery, laparoscopic cholecystectomy has been considered as a ...

Cholecystectomy is associated with increased risk in patients with liver cirrhosis. Moreover, cirrhosis and portal hypertension have been considered relative or absolute contraindication to laparoscopic cholecystectomy. As experience with laparoscopic cholecystectomy increased, we decided to treat cirrhotic patients via this approach. Between January 1994 and April 1995, nine patients with a Ch...