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Tytuł pozycji:

Relation between Gallbladder Wall Thickness, Assessed by Sonography, and Difficulties in Laparoscopic Cholecystectomy

Tytuł:
Relation between Gallbladder Wall Thickness, Assessed by Sonography, and Difficulties in Laparoscopic Cholecystectomy
Autorzy:
Majeed H. Alamiri
Muthanna K . Adwan
Temat:
Laparoscopic cholecystectomy, gallbladder wall thickness
Medicine
Medicine (General)
R5-920
Źródło:
مجلة كلية الطب, Vol 57, Iss 2 (2015)
Wydawca:
College of Medicine University of Baghdad, 2015.
Rok publikacji:
2015
Kolekcja:
LCC:Medicine
LCC:Medicine (General)
Typ dokumentu:
article
Opis pliku:
electronic resource
Język:
English
ISSN:
0041-9419
2410-8057
Relacje:
http://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/337; https://doaj.org/toc/0041-9419; https://doaj.org/toc/2410-8057
DOI:
10.32007/med.1936/jfacmedbagdad.v57i2.5
Dostęp URL:
https://doaj.org/article/64351700b0884d9f9f16e0466dc64c92  Link otwiera się w nowym oknie
Numer akcesji:
edsdoj.64351700b0884d9f9f16e0466dc64c92
Czasopismo naukowe
Background: Laparoscopic cholecystectomy is the standard treatment for symptomatic gallbladder disease. Preoperative prediction of a difficult laparoscopic cholecystectomy can help the surgeon to prepare better for intraoperative risk and the risk of conversion to open cholecystectomy. Objectives: Evaluation of the influence of gallbladder wall thickness, assessed by sonography preoperatively, on the outcome of laparoscopic cholecystectomy and to evaluate any intra- or postoperative complications in relation to them. Patients and Methods: This prospective clinical trial conducted in Department of Surgery, Al-yarmouk Teaching Hospital, between October 2010 and October 2012.Abdominal sonography performed in 122 consecutive patients before laparoscopic cholecystectomy. The surgeon re-verified sonographic findings in the operating room. Difficulty of laparoscopy was evaluated with multiple parameters related to the gall bladder wall thickness, so classified as easy or difficult laparoscopy or conversion. Results: Out of 122 patients with cholecystolithiasis on sonography, we encountered straight forward laparoscopic cholecystectomy in 87 patients (71.31%), difficult laparoscopic cholecystectomy in 27 (22.13%) and the procedure was converted to open cholecystectomy in 8 patients (6.55%). 47 patients(38.5%) had sonography revealing gallbladder wall thickness (>3 mm), and 75 patients (61.47%) had wall thickness < 3mm . Conclusions: Gallbladder wall thickening is the most sensitive indicator of technical difficulties during laparoscopic cholecystectomy. Such difficulties may require conversion to Laparotomy.

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