BACKGROUND Earlier economic analyses have evaluated charges but not costs, and have not considered the cost of production losses associated with open and laparoscopic cholecystectomy. This study attempted to accomplish an economic evaluation of open versus laparoscopic cholecystectomy from the point of view of society. METHODS A cost-minimization analysis, using a clinical decision model, was...

AIM The present study was conducted to see whether preoperative ultrasonography can be used as a predictor of difficult lapariscopic cholecystectomy or not. METHODS 50 patients of cholelithiasis, selected from surgical OPD of Rajindra Hospital Patiala, who fulfilled all inclusion and exclusion criteria for the study underwent elective cholecystectomy. Ultrasonography was done pre-operatively ...

Post-cholecystectomy syndrome can happen in 10% of patients after undergoing a cholecystectomy. Patients present with extra-biliary and unrelated organic disorders that they may have been suffering from before the The various possible etiologies post-cholecystectomy lead to broad spectrum treatment options variable success rate reducing symptoms. This article aims discuss summary different synd...

.. 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 ...

Background : Biliary stones are the leading cause of acute pancreatitis. Although cholecystectomy and selective endoscopic retrograde cholangiography (ERC) comprise the current treatment in patients with acute biliary pancreatitis (ABP), the time of intervention is still controversial. Objective : In this study the outcomes of cholecystectomy was evaluated. Methods : on first admission for ABP ...

background: cancer of the gallbladder is an uncommon but a fatal disease. cholelithiasis has been identified as a major risk factor for this cancer. the objective of this study was to evaluate the association between the presence of cholelithiasis and gallbladder cancer. materials and methods: 1,136 patients who underwent cholecystectomy between 1993 and 2003 in shariati hospital, affiliated to...

background: pneumoperitoneum results in respiratory and hemodynamic changes. it is unknown whether hemodynamic changes that last to the recovery room could change recovery criteria. to determine the effect of decrease in intra-abdominal pressure on discharge criteria after laparascopic cholecystectomy. methods: patients with age 25-65 who were candidated for elective laparascopy cholecystectomy...

UNLABELLED In the laparoscopic surgery of acute cholecystitis, no identification of anatomic structures in Calot triangle prevents the retrograde disection. Therefore, the anterograde disection of gall bladder, which we often use in open cholecystectomy, was applied as an alternative method in laparoscopic cholecystectomy in our 2 cases. Through this method, the safety of the attempt was increa...

The records of a consecutive series of 224 patients were analysed to discover the effect of incidental appendicectomy on the wound sepsis rate after cholecystectomy. One hundred and five patients had had a cholecystectomy alone and 119 cholecystectomy with incidental appendicectomy. The incidence of wound sepsis in patients not given adequate antibiotic prophylaxis was significantly lower (16-1...