Gall bladder disease is being treated with open cholecystectomy
for more than a century now.
The study includes 150 consecutive cases of laparoscopic cholecystectomy
performed between October 2014 and November 2015.
under epidural anesthesia: a feasibility study.
A Prospective Study of Altered Inflammatory Response and Its Clinical Outcome Following Laparoscopic and Open Cholecystectomy
Today laparoscopic cholecystectomy
when performed is considered as the "gold standard procedure for cholelithiasis".
With increasing experience in laparoscopy, the same admission laparoscopic cholecystectomy
was offered for all grades of acute cholecystitis in our centre, and only a few patients underwent delayed cholecystectomy
Stump cholecystitis: laparoscopic completion cholecystectomy
with basic laparoscopic equipment in a resource poor setting.
In case that the bile duct injury is noticed during cholecystectomy
itself, and that experienced hepatobiliary surgeon is available, intraoperative cholangiography should be performed and repair of bile duct injury immediately started.
PLGs are often diagnosed incidentally following a routine abdominal ultrasound or cholecystectomy
for other reasons as gallstones or biliary colic (1-3).
Despite the concept by people that routine histopathology of cholecystectomy
plays a dismal role in the management of most patients3, it plays an important role in clinicopathologic correlation of various lesions of gall bladder and helps in diagnosing pre-malignant condition like porcelain gall bladder or malignant conditions like carcinoma in situ and early carcinoma.
In analogy with the aviation industry where there are pre-flight, in-flight and pre-landing checks, there should be a preoperative checklist performed by the surgeon to identify the high risk cholecystectomy
("dangerous patient, dangerous pathology, dangerous anatomy") and an intraoperative checklist, with tick boxes to be completed by the anaesthetist, documenting important landmarked milestones during the procedure, fundamental to a safe LC.
Nasser et al found that 12% of patients undergoing laparoscopic cholecystectomy
had pre-existing umbilical or paraumbilical defects, of which 83.