We compared serum leptin responses during and after laparoscopic and open cholecystectomy, and assessed their correlation with the responses of inflammatory cytokines. Serum levels of leptin, interleukin-1alpha (IL-1alpha), interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-alpha) were measured by an enzyme-linked immunoassay in 31 patients who underwent laparoscopic cholecystectomy and ...

BACKGROUND Earlier economic analyses have evaluated charges but not costs, and have not considered the cost of production losses associated with open and laparoscopic cholecystectomy. This study attempted to accomplish an economic evaluation of open versus laparoscopic cholecystectomy from the point of view of society. METHODS A cost-minimization analysis, using a clinical decision model, was...

High risk patients who are candidates for laparoscopic cholecystectomy differ from the patients who have no existing risks and comorbidities in terms of the methods to be used as well as the expected outcomes. In order to recognize the safety of laparoscopic cholecystectomy, different cases of high risk patients undergoing laparoscopic cholecystectomy were gathered which demonstrate their condi...

Background: Endoscopic Retrograde Cholangio Pancreatography (ERCP) is the commonest method for treatment of biliary stones. In our study we compared 2 groups of patients managed with laparoscopic cholecystectomy post ERCP after maximum of 72 hours during same admission and after 28 days. Patients and Methods: The study conducted from January 2012 to January 2015 and included 86 patients; Group ...

BACKGROUND Laparoscopic cholecystectomy is now considered the first option for gallbladder surgery. However, 20% to 30% of cholecystectomies are completed as open operations often on elderly and fragile patients. The external validity of randomised trials comparing mini-laparotomy cholecystectomy and laparoscopic cholecystectomy has not been studied. The aim of this study is to analyse characte...

BACKGROUND Epidemiological data on characteristics of patients undergoing open or laparoscopic cholecystectomy are limited. In this register study we examined characteristics and mortality of patients who underwent cholecystectomy during hospital stay in Sweden 2000 - 2003. METHODS Hospital discharge and death certificate data were linked for all patients undergoing cholecystectomy in Sweden ...

Background: Laparoscopic cholecystectomy has now replaced open cholecystectomy as the first-choice of treatment for gallstones and inflammation of the gallbladder unless there are contraindications to the laparoscopic approach. The present study is done to know the incidence of cholelithiasis in India with respect to age and sex. To compare and evaluate the advantages and disadvantages of lapar...

Minimal access surgery via the operating laparoscope has been performed by our gynaecological colleagues for many years. General surgeons have been slow to develop expertise in the techniques of laparoscopic surgery. The new small television cameras and the excellent colour television reproduction, together with purpose designed instrumentation, have made safe laparoscopic surgery a reality rat...

Single-incision laparoscopic surgery (SILS) offers an approach to cholecystectomy without visible evidence that the cholecystectomy occurred.9 Cosmesis is the only documented benefit of the single-incision laparoscopic cholecystectomy (SILC), while SILC remains equivalent to multi-incision laparoscopic cholecystectomy (MILC) in all other respects.14 We report our experience of performing SILC w...

As laparoscopic cholecystectomy is being used more and more frequently, a cost analysis was aimed to be performed to evaluate cost effectiveness in Turkey. Records of 376 patients who underwent cholecystectomy by various methods were analyzed retrospectively. Mean duration of postoperative hospital stay was 5.1 +/- 2.6 days for the open cholecystectomy group (OC group), composed of 177 patients...