Cholelithiasis: chances to avoid cholecystectomy

Laparoscopic Cholecystectomy for Cholelithiasis in a Patient With Myotonic Dystrophy

Myotonic dystrophy (DM) is a rare autosomal dominant inherited neuromuscular disease involving several systems. The anesthetic method of choice remains uncertain. The risk of perioperative complications, particularly pulmonary and cardiac complications, in these patients is of major concern. We report on a 16-year-old female patient with DM type 1 undergoing laparoscopic cholecystectomy for sym...

Cholelithiasis, Cholecystitis and Cholecystectomy – their relevance for the African surgeon

[Cholelithiasis and cholecystectomy in patients with chronic renal failure].

Laparoscopic Cholecystectomy for Cholelithiasis in Patients With Liver Cirrhosis

We performed laparoscopic cholecystectomy for symptomatic cholelithiasis on four patients with cirrhosis of the liver, two of whom had clinical portal hypertension and splenomegaly. Preoperative examination disclosed hypersplenism in one patient, while mild thrombocytopenia and decreased prothrombin concentration were noted in three patients. However, no remarkable bleeding tendency was recogni...

Gall bladder carcinoma in patients undergoing cholecystectomy for cholelithiasis.

OBJECTIVE To determine the proportion and timing for suspecting the diagnosis of gall bladder carcinoma in patients undergoing cholecystectomy for cholelithiasis. METHODS A retrospective study conducted at the Aga Khan University Hospital, Karachi over a period of six years, included medical records of patients, with cholecystectomy for cholelithiasis and a histopathological diagnosis of gall...