Clinical Study of Complications of Laparoscopic Cholecystectomy and Open Cholecystectomy

Sankpal, Jitendra; Jadhav, Shekhar; Tayade, Mukund B; Torkadi, Yogesh; Sankpal, Sushrut; Gupta, Shubham

doi:10.18535/jmscr/v4i11.40

Cited by 2 publications

(4 citation statements)

References 12 publications

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“…However, in Indian studies, a relatively higher incidence of bile leak has been reported for both laparoscopic (0 -4.8%) as well as open (9.2%) cholecystectomy. The incidence of bile leak in laparoscopic cholecystectomy (3.57%) is comparable to the incidence reported by Karim et al, whereas the incidence of bile leak in open cholecystectomy as observed in presents study (2.5%) is comparable to that observed by Sankpal et al 6 In present study, the incidence of bile leak was slightly higher in LC group (3.57%) as compared to that in OC group (2.5%), though this difference was not significant statistically. Out of four overseas studies, two studies have shown the incidence to be higher in laparoscopic as compared to open surgery, whereas two others have found the incidence to be higher in open as compared to laparoscopic procedure.…”

Section: Incidence Of Bile Leak In Overseas and Indian Studies And Thsupporting

confidence: 87%

“…Among Indian studies, Karim et al reported this incidence to be higher in LC as compared to OC, whereas Sakpal et al 6 and Kishore et al 7 found this incidence to be higher in OC as compared to LC. In present study, we found the incidence to be similar in both the groups, but with a slightly higher proportion in LC group.…”

Section: Incidence Of Bile Leak In Overseas and Indian Studies And Thmentioning

confidence: 99%

“…Contrary to earlier reports showing a higher incidence of bile leak in laparoscopic cholecystectomy, some recent reports based on large clinical series present an altogether different picture. 6,7 With the changing scenario, it seems that with adoption of preventive measures and acquisition of requisite skills, the biliary leakage rate has been controlled in laparoscopic surgery and the picture has just been reversed. However, despite these promising reports in favour of laparoscopic cholecystectomy, this controversy has still not been resolved.…”

mentioning

confidence: 99%

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Comparison of Biliary Leakage in Laparoscopic and Open Cholecystectomy

Asif¹,

Yadav²,

Saleem³

et al. 2018

jemds

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BACKGROUND Laparoscopic surgery is unsafe and technically impossible in case a gall-bladder disease has changed the usual anatomic landmarks. Though, open cholecystectomy has fewer incidents of biliary leakage, the risk cannot be avoided. However, it seems that with adoption of preventive measures and requisite skills, the biliary leakage rate has been controlled in laparoscopic surgery. The study aimed to compare the frequency and cause of biliary leak between laparoscopic (LC) and open cholecystectomy (OC).

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Section: Incidence Of Bile Leak In Overseas and Indian Studies And Thsupporting

confidence: 87%

Section: Incidence Of Bile Leak In Overseas and Indian Studies And Thmentioning

confidence: 99%

mentioning

confidence: 99%

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Comparison of Biliary Leakage in Laparoscopic and Open Cholecystectomy

Asif¹,

Yadav²,

Saleem³

et al. 2018

jemds

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“…It is showing good judgment to complete the operation in the safest manner possible [5,9]. One of the main predictor factor of turning a LP to an OP is the presence of AC, related with a gallbladder wall thickness >3mm, due to the modification of local anatomy increasing the difficulty of identifying the cystic pedicle and the common bile duct [10,11].…”

Section: Conversion To An Open Cholecystectomymentioning

confidence: 99%

Laparoscopic Cholecystectomy; Complications and Conversion to Open Cholecystectomy

Verdeja-Robles¹

2018

OAJS

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Laparoscopic cholecystectomy (LC) has become the gold standard treatment for benign gallbladder disease since it was first introduced by Mühe in 1985, followed by Mouret in 1987. The laparoscopic cholecystectomy is defined as the removal of gallbladder through a key-hole-sized incision, this procedure is associated with less postoperative pain and better aesthetic results. The frequency of LC complications varies among 0.5% to 6%, leading to a new spectrum of intraoperative and postoperative complications, being the iatrogenic perforation of the gallbladder with an incidence of 10-30% the principal intraoperative complication. With the advent of laparoscopic cholecystectomies, the indications to perform an open cholecystectomy have decreased.The most common cause (2% to 10%) to do an open cholecystectomy is performed is when converting from a laparoscopic to open cholecystectomy. The principal predictors of complications regardless LC or PC are: gallbladder wall thickness >3mm, Acute Cholecystitis (AC), obesity, male sex, and instrumentation failure. Nevertheless in Sankpal study which evaluated 220LC and 220OC it shown no significant difference in the incidence of complications between these two types of surgery. When analyzing the literature it can be observed that there is no difference between laparoscopic and open cholecystectomy with respect to complications and indications. However, when performing a laparoscopic cholecystectomy there is always a risk of becoming an open cholecystectomy, even so the laparoscopic cholecystectomy continues to be the gold standard and there are advantages of laparoscopic surgery include in comparison with the open procedure like: reduction in tissue trauma, early ambulation, reduced adhesion formation, early return to work and less medication, which certainly make it the choice for treatment in the present.

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Clinical Study of Complications of Laparoscopic Cholecystectomy and Open Cholecystectomy

Cited by 2 publications

References 12 publications

Comparison of Biliary Leakage in Laparoscopic and Open Cholecystectomy

Comparison of Biliary Leakage in Laparoscopic and Open Cholecystectomy

Laparoscopic Cholecystectomy; Complications and Conversion to Open Cholecystectomy

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