BACKGROUND Laparoscopic cholecystectomy is considered to be gold standard treatment for symptomatic gall stones. Despite several benefits there are still disadvantages of laparoscopic cholecystectomy in difficult cases where anatomy is disturbed even in experienced hand. Aim of this study is to identify advantages of early conversion to open cholecystectomy in difficult cases and how it should ...

BACHGROUND Since the first laparoscopic cholecystectomy report in situs inversus totalis in 1991, the safety of this procedure has still been questionable. A few surgeons were preferred to perform an open cholecystectomy due to technical difficulties as well as various anatomical varieties that can be faced during surgery. CASE PRESENTATION We report a case report of a 50 years old patient ca...

OBJECTIVE To evaluate whether quality improvements in the performance of cholecystectomy have been achieved in Denmark since 2006, after revision of the Danish National Guidelines for treatment of gallstones. DESIGN A national database that monitors the quality of cholecystectomy was established, and registration of all cholecystectomies in Denmark was mandatory since 1 January 2006. Indicato...

From the Post Graduate Departments of Surgery and *Physiology, Govt. Medical College, Jammu (J&K) Correspondence to : Dr Sandeep Bhat, H.No. 21, Lane No. 1 A Roop Nagar, Enclave, Jammu (J&K) Abstract Gall stone disease is the most common biliary pathology and has plagued the mankind for over 2000 years. Since the National Institutes of Health Consensus Conference, in 1993, laparoscopic cholecys...

AIM The present study was conducted to see whether preoperative ultrasonography can be used as a predictor of difficult lapariscopic cholecystectomy or not. METHODS 50 patients of cholelithiasis, selected from surgical OPD of Rajindra Hospital Patiala, who fulfilled all inclusion and exclusion criteria for the study underwent elective cholecystectomy. Ultrasonography was done pre-operatively ...

conclusions laparoscopic cholecystectomy is a safe and feasible technique to manage cholecystocutaneous fistulas. case presentation a 55-year-old male with comorbidities presented with a discharging sinus at the right upper quadrant area after an abdominal wall abscess drainage. a computerized tomography scan showed a biliary fistula. laparoscopic cholecystectomy was carried out successfully. i...

I like to thank the AAST and President Cioffi for the great honor to present this Master Surgeon Lecture. On this date, I must acknowledge that it is September 11, and we need to take a moment of silence for our fallen colleagues and countrymen on that day. My topic today is, ‘‘Acute Cholecystitis: When to Operate and How to Do It Safely.’’ The obvious question is why did I select such a mundan...

OBJECTIVES To assess the safety and feasibility of laparoscopic cholecystectomy as a day-case procedure. METHODS All consecutive patients who were admitted to the day-surgery unit for laparoscopic cholecystectomy at the Department of Surgery, King Saud Medical City, Riyadh, Saudi Arabia from July 2009 to June 2013 were considered for this retrospective study. The medical records were reviewed...

OBJECTIVES: This study aimed to compare the risk of surgical site infection with open vs laparoscopic cholecystectomy. METHODOLOGY: randomized control trial was done at Department Surgery, Hayatabad Medical Complex, Peshawar, for 12 months from 11/5/2018 11/5/2019. 116 patients were recruited this study, 58 each group randomly allocated a by lottery method and concealed Allocation. Patients in ...