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...

context different approaches are routinely applied in the treatment of concomitant cholecystocholedocholithiasis. most patients are treated by preoperative endoscopic sphincterotomy followed by laparoscopic cholecystectomy in a two-stage approach. however one-stage approach carrying out intraoperative endoscopic sphincterotomy (ioes) is emerging as a minimally invasive alternative option. our r...

BACKGROUND After its introduction, laparoscopic cholecystectomy rapidly expanded around the world and was accepted the procedure of choice by consensus. However, analysis of evidence shows no difference regarding primary outcome measures between laparoscopic and small-incision cholecystectomy. In absence of clear clinical benefit it may be interesting to focus on the resource use associated wit...

Laparoscopic cholecystectomy is clearly the gold standard for symptomatic cholelithiasis. Open cholecystectomy is now reserved for difficult and problematic cases. The purpose of this paper is to propose that mini-laparotomy cholecystectomy (minicholecystectomy) can be as effective as laparoscopic cholecystectomy. This paper compares the two techniques in well-matched patients. In addition mast...

Introduction: Laparoscopic cholecystectomy (LC) is now the standard procedure for the treatment of symptomatic gallbladder stones. Although laparoscopic cholecystectomy has numerous advantages it has increased risk of injury to common bile duct, duodenum, bowel, iliac vessels, high conversion rate in acute cholecystitis and difficulty in management of simultaneous CBD stones. Ultrasonography is...

100 patients (93 females and 7 males) in ages ranging between 23 and 65 years were subjected to laparoscopic cholecystectomy for biliary colic (92 pts), acute cholecystitis (7 pts) or asymptomatic gallstones (1 pt). none had a history of icterus and in every case choledocholithiasis was excluded by means of serum alkaline phosphatase assessment and sonography (in addition to ercp in 3 pts). 3 o...

BACKGROUND Widespread adoption of minimal access techniques forced a generation of abdominal surgeons to re-learn many standard abdominal procedures. This threatened to reduce the pool of suitable "training" operations for surgical residents. METHODS Operator grade, duration of operation, acute/elective operation, conversion rate, complications, and postoperative stay were recorded prospectiv...