Articles Related to cholecystitis
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.
Accidentally Discovered Pure Squamous Cell Carcinoma of the Gall Bladder: A Case Report
Squamous cell carcinoma of the gallbladder is rarely reported, comprises less than 1% of all gall bladder cancer and portends a worse prognosis than the more common adenocarcinoma. We report a 80-year-old female who presented with acute onset epigastric pain. She was operated on based on a presumptive diagnosis of acute on top of chronic cholecystitis with cholelithiasis according to clinical and ultrasonographic findings. Histopathological examination of the thickened wall of the gallbladder revealed well to moderately differentiated keratinized squamous cell carcinoma invading full wall thickness and infiltrating the liver. Further examinations revealed no other primary site for the tumour. Gallbladder cancer should be considered as part of the differential diagnosis in elderly patients presenting with cholecystitis.
Appendicitis in Pregnancy: How Vestigial is this?
Appendicitis is a rare pregnancy associated surgical emergency, with appendectomy as the most frequent non obstetrical surgical procedure performed in pregnancy. Diagnostic delay increases maternal and fetal morbidity and mortality thereby highlighting the need for a prompt diagnosis and surgery. Two cases of appendicitis with pregnancy are being reported with abdominal pain as common presenting feature.
The Flesh Fly Sarcophaga (Liopygia) crassipalpis Macquart 1839 as an Invader of a Corpse in Calabria (Southern Italy)
We present an indoor forensic case that occurred in spring 2013 in Cosenza (southern Italy). The entomological evidence collected at the scene consisted of Calliphoridae (Calliphora vicina, Lucilia sericata), Sarcophagidae (Sarcophaga crassipalpis), Fanniidae (Fannia scalaris) and Muscidae (Hydrotaea ignava).