Articles Related to cholecystectomy
Clinical Impact of Laparoscopic Cholecystectomy to Chronic Calculous Cholecy-stitis: A Retrospective Study
The Aims: The retro-prospective clinical study was to compare these two methods of laparoscopic and classical
cholecystectomy. To prove the postoperative benefits of laparoscopic treatment are, less pain, aesthetic aspect without
surgical scarring and shorter hospital stay, faster return to social activities as well as more cost effective.
Material and Methods: The operated patients, from January 2017 to December 2019 in the abdominal surgery ward
in Gjilan. Important data for the study are taken from the operative list, history of the disease, adequate list compiled
specifically for this study. The study included 389 patients with chronic calculous cholecystitis.
Results: According to the results obtained for calculous diseases of the biliary system are predisposed persons with blood
group O, Rh-positive, with 44.2%, followed by group A + with 29.5%, group B + with 14.7%. Other blood groups and
Rh factors are below 6.5%. Statistical point of view is significant (p <0.05). The study analyzed, C-reactive protein (CRP)
values in both research group (RG) and control groups (CG); CRP by gender; and by age group. RG recorded 76.9% of
females with increased CRP values> 6, while 23.1% of males. The percentage difference in statistical terms is significant p
<0.05.
Conclusion: The results obtained have shown that there are no significant differences in the presentation of intra-operative
complications in terms of gender and age, to both methods. Optimization measures for postoperative management of
patients after laparoscopic cholecystectomy. Continuing education in laparoscopic surgery is important for successful
management.
Medical Management of Symptomatic Gallstones: A Narrative Review
Fifteen studies, representing over 2,500 patients, have found that up to 40% of patients continue to have abdominal pain
and symptoms after cholecystectomy. As a result, there is increasing interest in non-operative approaches for managing patients with
symptomatic gallstones. The goal of this study was to summarize the existing evidence and identify remaining evidence gaps for the
medical treatment of symptomatic gallstone disease: including synthetic phospholipids, synthetic bile acids, choleretics, cholesterollowering medications, and diet
Ectopic Liver Found on Gall Bladder Wall during Laparoscopic Cholecystectomy
Ectopic liver tissue is an uncommon finding and may be found in multiple abdominal sites, most commonly on the gall bladder. It is usually asymptomatic and is discovered incidentally during cholecystectomy, but there are potential complications. We present a case of an ectopic liver seen on the gallbladder serosa during laparoscopic cholecystectomy being performed for symptomatic cholelithiasis, and briefly review the literature.
Is an IOC Still Necessary during Laparoscopic Cholecystectomy?
Routine intraoperative cholangiogram (IOC) during laparoscopic cholecystectomy (LC) helps to confirm biliary anatomy and reduce bile leaks. It also allows identification of common bile duct stones intraoperatively which in selected patients can be cleared transcystically in the same procedure which is much less morbid than through post-operative endoscopic retrograde cholangiopancreatography (ERCP). Despite this, some surgeons only selectively perform IOC or forgot it all together.
A New Approach to Identify Sphincter of Oddi Dysfunction
Sphincter of Oddi dysfunction (SOD) is a known gastrointestinal disorder that has been well documented but is difficult to diagnose noninvasively.
Unusual Variant of Guillain-Barré Syndrome Following Hepato-biliary Surgery — A Rare Case Report
Guillain-barré syndrome (G.B. Syndrome) is an acute inflammatory poly-radiculoneuropathy characterized by weakness and areflexia typically following viral infection, vaccination, and rarely surgery. Acute Inflammatory Demyelinating Poly-radiculoneuropathy is the most common subtype of G.B. Syndrome. Although post-operative G.B. syndrome is a rare entity, there are few case reports of G.B. syndrome after gastric surgery. But there have been no reported case scenarios of atypical variety of this neurologic entity following hepato billiary surgery. Hence our objective is to put forward this message to the readers.
