Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The most prevalent biliary disease, cholelithiasis, affects 10 to 15% of the population. Of the patients, 1 to 2% has symptoms. For safe gallbladder removal, 5‐10% of laparoscopic cholecystectomy cases may need conversion to open cholecystectomy. Several issues that arise during surgery might make laparoscopic cholecystectomy (LC) more challenging. This study's goal was to use clinical and ultrasonographic parameters to anticipate LC difficulties prior to surgery. For three days before to surgery, all patients got vitamin K and therapy for their symptoms. After examination, the patient had laparoscopic cholecystectomy, the procedure's duration, biliary/stone leakage, duct/artery damage, adhesion presence and conversion were recorded. Two surgeons with comparable years of laparoscopic surgery experience worked on each patient. Every patient was monitored for any complications after surgery. Depending on the drainage, the drain was removed between the second and fifth post‐operative days and the sutures were removed on the eighth post‐operative day. Every patient was monitored for any reoccurring symptoms. Over the course of a year, 60 patients were enrolled in this prospective investigation. Each of the sixty patients had a gallbladder stone. Thirteen patients exhibited pericholecystic collection, while twenty patients had wall thickening. There were 40 with several calculi, 14 with a single calculus and 11 with a single affected calculus. LC might be challenging at times due to a variety of clinical, radiological and preoperative characteristics. The earlier these prognostic markers are identified, the less challenging LC will be for us.
How to cite this article:
A. Kalaiventhan, S. Deepak and V. Pandy. Assessment of Predictive Factors for Challenging Laparoscopic Cholecystectomy: A Clinical Evaluation.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.1.508.512
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.1.508.512