Laparoscopic cholecystectomy: Conversion rate and complcation

Malla, BR; Joshi, HN; Rajbhandari, Nripesh; Shakya, YR; Karki, B; Gyanwali, D; Shrestha, Suvash; Koju, R

doi:10.3126/jssn.v18i3.15305

Cited by 2 publications

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“…Considering the operation method in patients in the first group (HD), monopolar cautery energy was used for a longer period of time. Both approaches are equally safe in terms of bile duct injuries and postoperative bleeding [14,15]. In the literature, studies comparing monopolar cautery and ultrasonic dissector revealed that the groups using cautery had a significantly higher increase in LFTs in the postoperative period [16].…”

Section: Discussionmentioning

confidence: 99%

The Effect of L-Hook Dissection and Scissors Dissection on Liver Injury in Laparoscopic Cholecystectomies

Yıldırım

Özkan

TOPÇU

2021

Cureus

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Purpose: Laparoscopic cholecystectomy is generally performed with the help of monopolar cautery. We aimed to reveal the effect of monopolar cautery use on liver damage in this study.Method: Data of patients who underwent elective cholecystectomy between January 2016 and April 2020 were collected retrospectively. The patients were divided into two groups according to the surgical technique as hook dissection (HD) and scissor dissection (SD). The amount of increase in the preoperative and postoperative alanine aminotransferase (ALT) and aspartate aminotransferase (AST) values of the patients was compared between the two groups.Findings: Over 970 patients were included in the study. The changes in pre-post ALT and AST values were statistically significantly different between the HD (n=469) and SD (n=501) groups (p<0.001; p0.001). 338)) and 444)) changes in the HD method were statistically significantly higher than 371)) and AST (10.8 (−37, 617)) changes in the SD method.Results: ALT and AST values increase after all laparoscopic cholecystectomies. Although the increase in ALT and AST in the HD patients is statistically significant when compared to the SD group, both methods of laparoscopic cholecystectomy can be safely performed because they do not cause permanent liver injury.

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Section: Discussionmentioning

confidence: 99%

The Effect of L-Hook Dissection and Scissors Dissection on Liver Injury in Laparoscopic Cholecystectomies

Yıldırım

Özkan

TOPÇU

2021

Cureus

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“…Laparoscopic cholecystectomy is the surgical treatment for gallbladder disease. However, different centers have reported different conversion to open surgery and postoperative complications in Nepal [6]. Diverse modalities in modern science treat Fistula-in-ano, but today, no single modality has proved to be a complete cure.…”

Section: Introductionmentioning

confidence: 99%

Duration of Hospital Stay and Treatment Pattern among Patients Undergoing Common Operative Procedures at tertiary care hospital in Nepal

Chaudhary

Chaurasia

Singh

2019

Janaki Med. Coll. J. Med. Sci.

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Background and Objectives: Appendectomy, cholecystectomy, fistulectomy, and herniotomy or herniorrhaphy are the most common surgical operations in Nepal. Despite the high prevalence and complexity of the patient population served by general and universal surgery services, little has been reported about the services, treatment procedures and outcomes. Therefore, the study is designed to investigate the duration of hospital stay, and treatment pattern among patients undergoing common surgical operative procedures at Janaki Medical College, Janakpur, Nepal. Material and methods: A prospective observational study was conducted among patients undergoing common surgical operative procedures at surgery department of Janaki Medical College (JMC) over a period of one year from January 2018 to December 2018. Patients of all age groups and gender undergoing surgical operative procedures; appendectomy, herniotomy cholecystectomy and fistulectomy were included in the study. The patients were assessed preoperatively, intra-operatively and postoperatively. Results: In a total of 325 patients, 11.1% of patients underwent fistulectomy, 14.5% underwent appendectomy, 35.4% underwent herniorrhaphy and 39.1% underwent cholecystectomy. Mean duration of stay at hospital for cholecystectomy was slightly higher (8.13±2.40 days) than other operating procedures: fistulectomy (5.44 ±1.48 days), appendectomy (7.40±2.00 days), and operative procedure of hernia (6.17±1.59 days). Most commonly used antibiotic for control of preoperative and post operative infection was third generation cephalosporin’s, ceftriaxone and cefixime. Conclusion: The study demonstrates longer duration of hospital stay for cholecystectomy as compared to other operating procedures like fistulectomy, appendectomy, herniorrhaphy, hernioplasty and herniotomy with significant difference by types of surgery. Most commonly used antibiotic for control of infection was third generation cephalosporin, ceftriaxone and cefixime.

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Laparoscopic cholecystectomy: Conversion rate and complcation

Cited by 2 publications

References 0 publications

The Effect of L-Hook Dissection and Scissors Dissection on Liver Injury in Laparoscopic Cholecystectomies

The Effect of L-Hook Dissection and Scissors Dissection on Liver Injury in Laparoscopic Cholecystectomies

Duration of Hospital Stay and Treatment Pattern among Patients Undergoing Common Operative Procedures at tertiary care hospital in Nepal

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