Rate of Conversion of Laparoscopic Cholecystectomy in Patient with Previous upper Abdominal Surgery

Abstract

Background: There are still a significant number of patients in whom laparoscopic cholecystectomy (LC) cannot be performed successfully, necessitating conversion to open surgery . Some surgeons are hesitant to use the laparoscopic operation in patients with symptomatic gallstones and a history of upper abdominal surgery due to the possible dangers (UAS). Aim of the work:To evaluate the rate of Conversion from In a patient who has had previous upper abdominal surgery, a laparoscopic cholecystectomy is performed. Patients and methods: This was a retrospective study included collected records of 50 patients underwent cholecystectomy with previous upper abdominal surgery to detect rate of conversion among them in Al-Azhar University Hospitals & Damanhour Hospital. Results: In our study, regarding Techniques for safe entry to the abdomen among the participants, Safe entery of first trocar was our goal in all patients so we used different methods for 1st trocar insertion thus preventing injury to bowel or any structure that would adhere to abdominal wall, the Hasson's technique was used among 52%, Veress needle was used among 24%, Palmer's point was used among 18%, Visiport was used among 6% of the participants. Conclusion:In some cases, laparoscopic cholecystectomy is a viable and safe treatment option for symptomatic gallstone disease. patients with previous upper abdominal surgery history. However, appropriate preoperative preparations, patients' assessment, careful intraoperative techniques, and well-experienced surgeon are mandatory for good outcomes.

Scope of Laparoscopic Cholecystectomy in Patient with History of Previous Upper Abdominal Surgery

“…Various relative contraindications, like horrible corpulence, past upper stomach a medical procedure, and intense cholecystitis, have been proposed in deciding if a patient is a contender for laparoscopic cholecystectomy. With growth in experience, criteria for selecting patients for LC have been liberalized 10 . Objective: The main objective of the study is to find the scope of laparoscopic cholecystectomy in patient with history of previous upper abdominal surgery.…”