We report the anesthetic management of a patient with severe pulmonary fibrosis for laparoscopic cholecystectomy using an i-gel. A 59-yr-old, 75 kg female was undergoing elective laparoscopic cholecystectomy for acute cholecystitis. The patient had severe pulmonary fibrosis requiring oxygen therapy at home. I-gel has proved to be effective in a patient with severe pulmonary fibrosis who underwe...

Laparoscopic cholecystectomy is the preferred treatment for symptomatic cholelithiasis. Severe local inflammation and scar formation are commonly responsible for conversion to open surgery. Fibrosuppressive effects of estrogen on peritoneal inflammatory conditions could provide low, dense fibrosis or scar formation around the gallbladder and make laparoscopic cholecystectomy easier in women and...

Laparoscopic cholecystectomy is a broadly used technique for gallbladder treatment. However, situs inversus, a rare anomaly, is reportedly difficult to treat by conventional laparoscopic cholecystectomy. A 36-year-old woman with chronic cholecystitis and multiple gallstones was found to have dextrocardia on a chest X-ray. Magnetic resonance imaging demonstrated situs inversus, cholecystitis, an...

UNLABELLED In 95 children (age 6-18 y) treated for gallstones between 2002-2010, 95 laparoscopic cholecystectomies were carried out. Symptomatic cholecystolithiasis was the indication for laparoscopic cholecystectomy in most of the cases. In three patients, there was a conversion to open cholecystectomy. Postoperative complications due to failure of bile drainage arose in three patients. Restor...

Laparoscopic cholecystectomy under general anaesthesia is the present gold standard in treatment of symptomatic gall bladder disease. This study was conducted to determine the efficacy and safety of laparoscopic cholecystectomy under spinal anaesthesia which could be more cost effective. A prospective study was conducted was over a fourteen month period at a teaching hospital to evaluate effica...

The announcement of laparoscopic laser cholecystectomy in 1989 sparked a widespread interest in lasers and laser technology. Early proponents of laparoscopic cholecystectomy described it as an operation to be performed with a laser, and available literature suggested that laser energy was necessary to accomplish laparoscopic gallbladder removal. Indeed, in those early days, it seemed that attem...

Laparoscopic cholecystectomy is now considered to be gold standard operation for cholelithiasis. Preoperative prediction of difficult laparoscopic cholecystectomy can help in better preparation to tackle intraoperative difficulties and assessing chances of conversion to open procedure. The aim is to predict difficult laparoscopic cholecystectomies by clinical and radiological assessment. Patien...

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...

Aim: To evaluate the outcome of single versus four port laparoscopic cholecystectomy. Methods: This randomized control trial was conducted from 1 st April 2015 to 30 th September 2015 in the Department of Surgery, Bolan Medical Complex Hospital Quetta. A total of 100 cases (50 in each group) were enrolled in the study with aged between 20 and 70 years and both sexes undergoing laparoscopic chol...