BACKGROUNDS/AIMS Bile duct injury is one of the potential severe complications that can occur during laparoscopic cholecystectomy, which can be cause by anatomic variations in the confluence of the bile duct. Recently magnetic resonance cholangiopancreatiocography (MRCP) has become a helpful tool to detect bile duct variation on a preoperative basis and to prevent bile duct injury during laparo...

OBJECTIVE Our aim was to determine the efficacy of laparoscopic cholecystectomy in symptomatic patients with ultrasound negative and abnormal gallbladder ejection fractions; Patients with gallbladder ejection fractions less than 35% on hepatobiliary scan were offered laparoscopic cholecystectomy. METHODS Between January 1995 and January 2001, 1564 patients underwent laparoscopic cholecystecto...

Single-port laparoscopic technology is effective in minimally invasive surgery. However, this technology requires expensive instrumentation. In the present study, an alternative minimally invasive technique, periumbilical laparoscopic surgery through triple channels using common instrumentation, is introduced. Increased use of this new technique may be worthwhile since its results are comparabl...

The pre and postoperative symptoms and outcome after surgery in patients with symptomatic gall stone disease were evaluated by a detailed self administered postal questionnaire. The survey was conducted in two groups: 80 patients treated by laparoscopic cholecystectomy and an age matched cohort of patients who had conventional open cholecystectomy. The overall response rate on which the data we...

results the pain score was lower in group a (p= 0.01), but the morphine consumption showed no significant difference between the groups (p= 0.24) during the first 6 hours postoperatively. conclusions although paracetamol (1gr) has caused a better pain relief quality but it is not a suitable analgesic for moderate pain control in acute phase after surgery alone. background although opioids are t...

Laparoscopic cholecystectomy (LC) has many advantages over open cholecystectomy, but sometimes, it can cause life threatening complications. Abdominal aortic injuries are rare but if occur, usually prove fatal if not diagnosed and treated promptly. We report a case of abdominal aortic injury which occurred during laparoscopic cholecystectomy. To the best of our knowledge this would be the first...

Background: Biloma is a rare abnormal localized accumulation of bile out of biliary tree due to an injury that occurs usually postoperatively from an injured cystic or bile duct. While most bilomas collect in the subhepatic space, we describe a rare case of hepatic subcapsular biloma after laparoscopic cholecystectomy and ERCP which was done one week after surgery successfully treated by p...

BACKGROUND AND OBJECTIVES Within the past few years, there has been a push for an even more minimally invasive approach to biliary disease with the adoption of single-incision laparoscopic cholecystectomy. We sought to compare 4 individual surgeon experiences to define whether there exists a learning curve for performing single-incision laparoscopic cholecystectomy. METHODS We performed a ret...

BACKGROUND AND OBJECTIVES Single-incision laparoscopic surgery is becoming more widely used, but few combined procedures have been reported. Herein we share our experience with single-incision laparoscopic combined cholecystectomy and appendectomy. METHODS We reviewed data from 26 patients who underwent single-incision laparoscopic combined cholecystectomy and appendectomy between May 1, 2009...

Nowadays, laparoscopic cholecystectomy is the procedure of choice for cholelithiasis and a part of general surgical practice. Benefits of this approach include shorter hospital stay, less pain, quicker return to normal activities and improved cosmetic outcome. This study was done to evaluate the problems & complications faced during and after laparoscopic cholecystectomy like adhesions, sessile...