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LAPCHOLLaparoscopic Cholecystectomy (gallbladder-removal surgery)
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[4,5] Laparoscopic cholecystectomy is considered to be difficult if adhesions at Calot's triangle are dense, gallbladder is contracted or fibrotic, previous history of upper abdominal surgery, gangrenous gallbladder, acutely inflamed gallbladder, empyema gallbladder including Mirizzi's syndrome, or associated cholecystogastric or cholecystoduodenal fistula.
A comprehensive predictive scoring method for difficult laparoscopic cholecystectomy. J Minim Access Surg 2014; 10: 62.
The reported completeness of data in template operative notes is 94.7% compared to 66% in traditional note.10 Most of those studies have considered the oncological surgeries except one conducted by Harvey et al on laparoscopic cholecystectomy (LC).7 There is no local literature to support the reliability of template form operative note.
Cholelithiasis is a common problem among masses and two to three percent of asymptomatic patients become symptomatic each year.1 Laparoscopic cholecystectomy was introduced as an alternative to conventional open gallbladder removal, by Mouret in 1987 and it soon became gold standard for the surgical treatment of cholelithiasis.2,3 Role of routine sub hepatic drainage after Laparoscopic cholecystectomy is still an issue of great debate.4,5 An intra-abdominal drainage inserted as an early warning system may not always detect a nearby fluid collection and it also poses risk of liver, vascular and potentially a visceral injury.
We hypothesized that the length of stay could be reduced to 24 h in cases of elective uncomplicated laparoscopic cholecystectomy.
(10.) Purkayastha S, Tilney HS, Georgiou P, Athanasiou T, Tekkis PP, Darzi AW Laparoscopic cholecystectomy versus minilaparotomy cholecystectomy: a meta-analysis of randomized control trials.
Machado and Chopra (6) examined 26 patients with SIT and suggested that laparoscopic cholecystectomy can be safely performed in these patients.
A 65 year old male with symptomatic gall bladder polyp was scheduled for laparoscopic cholecystectomy. He was a diagnosed case of hypertension and rheumatic heart disease (RHD) with mild mitral stenosis (MS) but severe mitral regurgitation (MR).
Conclusion: Post-operative pain and the requirement for postoperative analgesics were significantly reduced in patients with administration of gabapentin before surgery and its use was found to be safe following laparoscopic cholecystectomy.
Laparoscopic cholecystectomy as standard intervention in symptomatic cholecystolithiasis.
He was admitted with the diagnosis of acute cholecystitis and underwent laparoscopic cholecystectomy during hospitalization.
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