This study proved that LC is associated with excellent results for the patient, safe procedure with high success rate, less complications, less postoperative pain, shorter hospital time, better cosmesis and faster return to normal life.So if the procedure is performed by the most experienced surgeon with appropriate patient selection improved technology, the rate of morbidity and mortality will be decreased dramatically. Our results are comparable with other worldwide studies.
Laparoscopic cholecystectomy proved to be the gold standard in the treatment of cholelithiasis and is replacing open cholecystectomy. The rate of conversion from laparoscopic cholecystectomy to open cholecystectomy range from 5-10 %, that's why it is necessary to study the predictive factors for difficult laparoscopic cholecystectomy. 115 patients were all subjected to ultrasonographic examination. The patients confirmed by US examination are evaluated with following factors: age, sex, BMI, h/o previous hospitalization, h/o previous abdominal surgeries, h/o acute cholecystitis. Ultrasonographic findings were Gall bladder wall thickness (> or < 4mm), pericholecystic fluid collection, number (solitary versus multiple) and liver texture (normal, fatty infiltration or fibrosis). Following evaluation the patients were subjected to laparoscopic cholecystectomy and the following operative parameters were assessed: access to peritoneal cavity (easy, difficult), bleeding during surgery (normal, abnormal), gall bladder bed dissection (easy, difficult), injury to duct/artery, and conversion to open surgery. In the present study, BMI > 30, history of cholecystitis, gall bladder wall thickness > 4mm, palpable gall bladder, pericholecystic fluid collection, impacted stone were significant predictive factors for difficult laparoscopic cholecystectomy . …………………………………………………………………………………………………….... Introduction:-Laparoscopic cholecystectomy has gradually replaced open cholecystectomy in treatment of symptomatic gall stone diseases. Better cosmesis, short hospital stay, early recovery and return to work and physical activity, all has led to the popularity of this technique, making it the gold standard for the treatment of cholelithiasis (1) Previously, patient with acute cholecystitis, empyema, gangrenous gall bladder, cirrhotic liver and Mirrizi's syndrome were contraindications for LC, due to the high rate of complications and conversion rate to open (2,3).With the increament of experience and technology improvement , difficult gall bladder being subsequently dealt with. However, the experience in lap technique, skills of the surgeon, thorough knowledge of risk factors are all important for a safe result. Even though a laparoscopic surgeon should have low threshold for conversion to open technique. In difficult cases, conversion rate of 1.5-19% have been reported in different published series (4).
Background: Laryngeal cancer is the most common of the aerodigestive tract affecting both sexes and all age groups with high morbidity and mortality when left untreated. Objectives: The study is carried out to review the histology of all larynx biopsies sent to Histopathology laboratory in UDUTH. Sokoto. Methods: A total number of forty three (43) paraffin embedded tissue block were used for the study. The blocks were retrieved from the archive and the patients' bio data and the histopathological pattern from the biopsies record book. The sections were cut from the tissue Original Research Article
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