A CLINICAL STUDY OF GALL STONE DISEASE AND ITS SURGICAL MANAGEMENT WITH FACTORS PREDICTING DIFFICULT LAPAROSCOPIC CHOLECYSTECTOMY AND POST-CHOLECYSTECTOMY COMPLICATIONS

Dr (Maj) Shravan Kumar Mishra, Maj(Dr) Abhishek Shrivastava

Abstract


Introduction-Gallstone disease remains one of the major cause of abdominal morbidity and mortality
through the world, representing a major health problem. Laparoscopic cholecystectomy is the preferred
procedure. Laparoscopic surgery is associated with better preservation of immune function and a reduction of the inammatory
response compared with open surgery. The rate of post operative infections seems to be signicantly lower Pre-operative
prediction of “difcult laparoscopic cholecystectomy” may not only improve patient safety but also be useful in reducing
the overall cost of therapy. This study aims at identifying factors which can predict difcult laparoscopic cholecystectomy and
correlate with postoperative complications.
Material and methods- It was prospective study. All patients undergoing Laparoscopic cholecystectomy were included in study.
Results- It can be concluded that LC is the gold standard for the management of gall stone disease. Preoperative risk factors
can help to predict difcult gallbladder and conversion to OC. These factors can predict difculty to be encountered during
surgery and help in making a decision for conversion thus shortening the duration of surgery and preventing unnecessary
complications.


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