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Scholars Journal of Applied Medical Sciences | Volume-9 | Issue-01
Role and Outcomes of Laparoscopic Cholecystectomy
Debnath BC, Ghosh A, Chowdhury AK, Jahangir R, Alam F, Joarder PAI, Alam TAHM
Published: Jan. 16, 2021 | 140 170
DOI: 10.36347/sjams.2021.v09i01.016
Pages: 82-85
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Abstract
Introduction: Laparoscopic cholecystectomy (LC) speaks to a huge change in the administration of gallbladder diseases and it is the most regularly performed surgery of the biliary related tract.1 It is considered as the highest quality level therapy for cholelithiasis. It is the gold standard treatment. Objective: The aim of this study is to identify role and outcomes of Laparoscopic Cholecystectomy. Methods: The study procedure included ultrasonography, which was routinely performed on all patients to confirm the clinical diagnosis of cholelithiasis with number of stones, gall-bladder wall thickness, pericholecystic collection, sizes, and diameter of common bile duct.LC was performed using the standard four port technique and pneumoperitoneum was created using Hasson or Veress needle technique. Results: In the study, we found that the indications of surgery were symptomatic chronic calculous cholecystitis in 90.55% patients, which is the major indication of surgery. Chronic acalculouscholecystitis were found in 2.35%, acute cholecystitis was found in 4.80%, and gall bladder polyp was found 2.40% of the patients.The mean operative time was 63.91±20.01 (range: 50-90 min) and intra-abdominal drain was placed in 13 (18.57%) patients. Conclusion: Increasing operative time was associated with increased odds of complications and, therefore, it appears that speed may matter in laparoscopic surgery.